Individual
KIMBERLY BROOKE RIVERA BOURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
530 E CEDAR ST, ELIZABETHTOWN, PA 17022-2516
(717) 588-1059
(717) 689-1246
Mailing address
530 E CEDAR ST, ELIZABETHTOWN, PA 17022-2516
(717) 588-1059
(717) 689-1246
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057178
PA
Other
Enumeration date
02/08/2014
Last updated
02/24/2026
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