Individual
KIMBERLY BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2518 BERT KOUNS LOOP, SHREVEPORT, LA 71118-3112
(318) 212-5437
(318) 212-5825
Mailing address
2518 BERT KOUNS LOOP, SHREVEPORT, LA 71118-3112
(318) 212-5437
(318) 212-5825
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12128R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078095901
—
TX
05
—
1695815
—
LA
Enumeration date
06/30/2006
Last updated
06/21/2021
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