Individual
KALEB ANDREW BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4401 RIVERCHASE DR, PHENIX CITY, AL 36867-7483
(334) 732-3000
Mailing address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-149764
AL
Other
Enumeration date
06/08/2020
Last updated
03/01/2024
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