Burke, Kathleen R.

Burke, Kathleen R. is an sole proprietor health care provider with primary practice located at 4 Militia Dr Suite 17, Lexington MA 02421-4737. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Burke, Kathleen R. can be contacted via phone (781) 861-9797.

Contact Information

Primary practice address
4 Militia Dr Suite 17 Lexington MA 02421-4737
Phone: (781) 861-9797
Fax: (781) 861-9797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 6858 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6858 Massachusetts
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 116459 Massachusetts

Profile Details

NPI number 1407904543
LBN Legal business name Burke, Kathleen R.
Credentials PHD, RN, CS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Dec 1st, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407904543 NPPES
Massachusetts Other 212553000 MBC
Massachusetts Other W05424 MBC

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