Burgess, Kathleen H
Burgess, Kathleen H is an sole proprietor health care provider with primary practice located at 12824 Se 4Th Pl , Bellevue WA 98005-3608. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Burgess, Kathleen H can be contacted via phone (425) 258-7511.Contact Information
Primary practice address
12824 Se 4Th Pl
Bellevue WA 98005-3608
Phone: (425) 258-7511
Fax: (425) 258-7742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD00041753 | Washington |
Profile Details
| NPI number | 1275530925 |
|---|---|
| LBN Legal business name | Burgess, Kathleen H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Oct 15th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275530925 | NPPES |
| Washington | MEDICAID | 8449977 |
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