Individual
CARISSA BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
216 W 10TH AVE STE 202, KENNEWICK, WA 99336-6304
(509) 221-5510
Mailing address
216 W 10TH AVE STE 202, KENNEWICK, WA 99336-6304
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61069219
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2020
Last updated
01/13/2022
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