Burgess, Kimberly Ann

Burgess, Kimberly Ann is an sole proprietor health care provider with primary practice located at 214 14Th Ave Sw Ste 108 , Sidney MT 59270-3521. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Burgess, Kimberly Ann can be contacted via phone (406) 488-2277.

Contact Information

Primary practice address
214 14Th Ave Sw Ste 108 Sidney MT 59270-3521
Fax: (406) 488-2530
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 17452 West Virginia

Profile Details

NPI number 1952378911
LBN Legal business name Burgess, Kimberly Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Dec 10th, 2020 - about 4 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 1952378911 NPPES
West Virginia MEDICAID 0053944000
West Virginia MEDICAID 160436

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