Burgess, Kristen Lebeau

Burgess, Kristen Lebeau is an individual health care provider with primary practice located at 3620 Court Dr Bldg K, Zanesville OH 43701-6456. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / General Practice. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Burgess, Kristen Lebeau can be contacted via phone (740) 454-1248.

Contact Information

Primary practice address
3620 Court Dr Bldg K Zanesville OH 43701-6456
Phone: (740) 454-1248
Fax: (740) 454-8183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 318939 Ohio
Nursing Service Providers / General Practice 163WG0000X 318939 Ohio

Profile Details

NPI number 1407042468
LBN Legal business name Burgess, Kristen Lebeau
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2007
Last updated Jun 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407042468 NPPES
Ohio MEDICAID 2136709

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