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Individual

MR. ROBERT J BURGESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
503 E 18TH ST, PITTSBURG, KS 66762-3348
(620) 641-4460
Mailing address
503 E 18TH ST, PITTSBURG, KS 66762-3348
(620) 641-4460

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
373H00000X
Day Training/Habilitation Specialist
Primary
KS
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant

Other

Enumeration date
01/06/2025
Last updated
01/23/2025
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