Kimberly Odel Burnett FNP

NPI 1720304967 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1720304967
Gender Female
Enumeration Date 04/13/2010
Last Updated 06/20/2012
Entity Type Individual
Active Over 6 years ago
Practice Location
114 DESMOND ST
SAYRE PA, 18840-2084, US
Phone (570) 882-7401
Fax (570) 882-7404
Business Location
2059 STATE ROUTE 17C
BARTON NY, 13734-1836, US
Phone (518) 527-0938
Fax
Toxanomy
Taxonomy Code 363L00000X
License State New York
License Number 335613
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According to our database, Kimberly Odel Burnett FNP NPI is 1720304967, taxonomy code is 363L00000X and license number is 335613, license state is located at New York. Kimberly Odel Burnett FNP physically located at 114 Desmond St, Sayre PA, 18840-2084. NPI Number Kimberly Odel Burnett FNP has the Individual type.

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1720304967 NPI number is provided on an as is basis without warranty of any kind. 1720304967 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Odel Burnett FNP are for informational purposes only.