Individual
MRS. KATHRYN MARIE BURTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
88 MDG, 4881 SUGAR MAPLE DRIVE, WRIGHT-PATTERSON AFB, OH 45433
(937) 522-2778
Mailing address
88 MDG, 4881 SUGAR MAPLE DRIVE, WRIGHT-PATTERSON AFB, OH 45433
(937) 522-2778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01069879A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2009
Last updated
04/16/2018
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