Kelly, Kathryn Burke

Kelly, Kathryn Burke is an sole proprietor health care provider with primary practice located at 324 Purchase St Suite 12B, South Easton MA 02375-1641. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Kelly, Kathryn Burke can be contacted via phone (508) 297-2316.

Contact Information

Primary practice address
324 Purchase St Suite 12B South Easton MA 02375-1641
Phone: (508) 297-2316
Fax: (508) 297-1712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 85454 PC Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family 364SP0810X 85454 PC Massachusetts

Profile Details

NPI number 1083711972
LBN Legal business name Kelly, Kathryn Burke
Credentials APRN-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Oct 29th, 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 1083711972 NPPES
Massachusetts Other PN0357 BLUE CROSS BLUE SHIELD

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