Burgess, Kathryn

Burgess, Kathryn is an sole proprietor health care provider with primary practice located at 1020 Dutch Fork Rd , Irmo SC 29063-8822. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Burgess, Kathryn can be contacted via phone (803) 476-8000.

Contact Information

Primary practice address
1020 Dutch Fork Rd Irmo SC 29063-8822
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 37332 South Carolina

Profile Details

NPI number 1740648427
LBN Legal business name Burgess, Kathryn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2016
Last updated Feb 9th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740648427 NPPES
South Carolina MEDICAID 37332

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