Burgess, Kathleen H

Burgess, Kathleen H is an sole proprietor health care provider with primary practice located at 12824 Se 4Th Pl , Bellevue WA 98005-3608. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Burgess, Kathleen H can be contacted via phone (425) 258-7511.

Contact Information

Primary practice address
12824 Se 4Th Pl Bellevue WA 98005-3608
Phone: (425) 258-7511
Fax: (425) 258-7742
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD00041753 Washington

Profile Details

NPI number 1275530925
LBN Legal business name Burgess, Kathleen H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Oct 15th, 2009 - 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 1275530925 NPPES
Washington MEDICAID 8449977

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