Individual
MS. KATHRYN H. BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1700 N ROSE AVE STE 320, OXNARD, CA 93030-7648
(805) 485-8709
(805) 485-3561
Mailing address
1700 N ROSE AVE STE 320, OXNARD, CA 93030-7648
(805) 485-8709
(805) 485-3561
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004734
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004734
PA LICENSE
GA
01
—
PA19398
CA STATE LICENSE
CA
Enumeration date
03/27/2006
Last updated
10/05/2007
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