Burnett, Kedron F.J.
Burnett, Kedron F.J. is an individual health care provider with primary practice located at 211 16Th Ave N , Nampa ID 83687-4058. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Burnett, Kedron F.J. can be contacted via phone (208) 467-4431.Contact Information
Primary practice address
211 16Th Ave N
Nampa ID 83687-4058
Phone: (208) 467-4431
Fax: (208) 467-7684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 527 | Idaho |
Profile Details
| NPI number | 1023148210 |
|---|---|
| LBN Legal business name | Burnett, Kedron F.J. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1023148210 | NPPES |
| Idaho | Other | PA-527 | IDAHO MEDICAL LICENSE |
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