Burgess, Kelly A
Burgess, Kelly A is an individual health care provider with primary practice located at 550 W Ogden Ave , Hinsdale IL 60521-3186. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Burgess, Kelly A can be contacted via phone (630) 323-6116.Contact Information
Primary practice address
550 W Ogden Ave
Hinsdale IL 60521-3186
Phone: (630) 323-6116
Fax: (630) 323-5309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085003487 | Illinois |
Profile Details
| NPI number | 1033348735 |
|---|---|
| LBN Legal business name | Burgess, Kelly A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2009 |
| Last updated | Nov 4th, 2011 - about 13 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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