Individual
KATHERINE ANNE BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4160 LITTLE YORK RD, SUITE 10, DAYTON, OH 45414-5800
(937) 415-9100
(937) 415-9195
Mailing address
PO BOX 713130, CINCINNATI, OH 45271-0001
(937) 415-9100
(937) 415-9195
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50003023
OH
Other
Enumeration date
01/04/2010
Last updated
03/16/2012
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