Burcham, Mckenna Kieley

Burcham, Mckenna Kieley is an individual health care provider with primary practice located at 875 Perimeter Dr , Moscow ID 83844-9803. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Specialist/Technologist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Burcham, Mckenna Kieley can be contacted via phone (208) 885-6111.

Contact Information

Primary practice address
875 Perimeter Dr Moscow ID 83844-9803
Phone: (208) 885-6111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Specialist/Technologist 235500000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1487494787
LBN Legal business name Burcham, Mckenna Kieley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2024
Last updated Aug 16th, 2024 - about 2 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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