Individual
DR. KIMBERLY ANN BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
214 14TH AVE SW STE 108, SIDNEY, MT 59270-3521
(406) 488-2277
(406) 488-2530
Mailing address
PO BOX 1870, LIVINGSTON, MT 59047-4704
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
17452
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053944000
—
WV
05
—
160436
—
OH
Enumeration date
03/08/2006
Last updated
12/10/2020
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