Individual
KATHLEEN BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95002816
CA
363L00000X
Nurse Practitioner
R50748
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R50748
LICENSE
CT
Enumeration date
06/03/2014
Last updated
01/21/2021
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