Individual
MRS. KIMBERLY EDWARDS BURGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2946 CAPPER RD, JACKSONVILLE, FL 32218-5140
(904) 864-6672
Mailing address
2946 CAPPER RD, JACKSONVILLE, FL 32218-5140
(904) 864-6672
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5170473
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6935214 96
—
FL
Enumeration date
05/21/2008
Last updated
05/21/2008
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