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Individual

KIMBERLEY S BURGESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
5 E CUMBERLAND RD, ALTAMONT, IL 62411-1271
(618) 483-6151
(618) 483-6153
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
(217) 868-2812
(217) 258-2216

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209004856
IL
363LF0000X
Family Nurse Practitioner
209-004856
IL
363LF0000X
Family Nurse Practitioner
Primary
277.001360
IL

Other

Enumeration date
07/21/2006
Last updated
11/01/2024
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