Burgin, Kimberly Edwards

Burgin, Kimberly Edwards is an sole proprietor health care provider with primary practice located at 2946 Capper Rd , Jacksonville FL 32218-5140. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Burgin, Kimberly Edwards can be contacted via phone (904) 864-6672.

Contact Information

Primary practice address
2946 Capper Rd Jacksonville FL 32218-5140
Phone: (904) 864-6672
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN 5170473 Florida

Profile Details

NPI number 1922265396
LBN Legal business name Burgin, Kimberly Edwards
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2008
Last updated May 21st, 2008 - about 18 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 1922265396 NPPES
Florida MEDICAID 6935214 96

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