Burgess, Kimberly Marie

Burgess, Kimberly Marie is an sole proprietor health care provider with primary practice located at 6440 N Allen Rd Unit 55, Peoria IL 61614-3281. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Burgess, Kimberly Marie can be contacted via phone (309) 838-5440.

Contact Information

Primary practice address
6440 N Allen Rd Unit 55 Peoria IL 61614-3281
Phone: (309) 838-5440
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X B622-5138-3710 Illinois

Profile Details

NPI number 1013103506
LBN Legal business name Burgess, Kimberly Marie
Credentials DT/H
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2007
Last updated Sep 19th, 2007 - about 17 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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