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
Phone: (406) 488-2277
Fax: (406) 488-2530
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952378911 | NPPES |
West Virginia | MEDICAID | 0053944000 | |
West Virginia | MEDICAID | 160436 |
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