Burgess, Kendra M
Burgess, Kendra M is an sole proprietor health care provider with primary practice located at 5000 Ky Route 321 , Prestonsburg KY 41653-9113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Burgess, Kendra M can be contacted via phone (606) 886-8511.Contact Information
Primary practice address
5000 Ky Route 321
Prestonsburg KY 41653-9113
Phone: (606) 886-8511
Fax: (606) 886-1316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA1210 | Kentucky |
Profile Details
| NPI number | 1609100692 |
|---|---|
| LBN Legal business name | Burgess, Kendra M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2009 |
| Last updated | Jun 14th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609100692 | NPPES |
| Kentucky | MEDICAID | 7100242920 |
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