Individual
KATRINA RUBY BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15155 W 153RD TER, OLATHE, KS 66062-3734
(913) 486-0177
Mailing address
15155 W 153RD TER, OLATHE, KS 66062-3734
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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