Burnett, Kathryn Gault

Burnett, Kathryn Gault is an individual health care provider with primary practice located at 29 N Academy St , Greenville SC 29601-2629. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Burnett, Kathryn Gault can be contacted via phone (864) 331-1300.

Contact Information

Primary practice address
29 N Academy St Greenville SC 29601-2629
Fax: (864) 331-1447
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1248 South Carolina

Profile Details

NPI number 1639123318
LBN Legal business name Burnett, Kathryn Gault
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated May 28th, 2021 - 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 1639123318 NPPES
South Carolina MEDICAID NP0408

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