Burgess, Kimberly

Burgess, Kimberly is an individual health care provider with primary practice located at 670 Pierce Blvd , O Fallon IL 62269-2579. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Burgess, Kimberly can be contacted via phone (618) 206-2094.

Contact Information

Primary practice address
670 Pierce Blvd O Fallon IL 62269-2579
Phone: (618) 206-2094
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209015757 Illinois

Profile Details

NPI number 1164956066
LBN Legal business name Burgess, Kimberly
Credentials AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2017
Last updated Dec 29th, 2021 - about 3 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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