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Individual

KATHY A BURRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS ATC

Contact information

Practice address
909 REGAL DR, NORTH LITTLE ROCK, AR 72118-2639
(501) 753-7296
Mailing address
909 REGAL DR, NORTH LITTLE ROCK, AR 72118-2639

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT148
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AT148
ATHLETIC TRAINER
AR
Enumeration date
06/30/2006
Last updated
07/08/2007
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