Burkhardt, Kimberly

Burkhardt, Kimberly is an sole proprietor health care provider with primary practice located at 1233 Locust St Fl 4 , Philadelphia PA 19107-5459. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Burkhardt, Kimberly can be contacted via phone (215) 790-1788.

Contact Information

Primary practice address
1233 Locust St Fl 4 Philadelphia PA 19107-5459
Phone: (215) 790-1788
Fax: (215) 732-5490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN005788 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN10037692 Massachusetts

Profile Details

NPI number 1447621289
LBN Legal business name Burkhardt, Kimberly
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2015
Last updated Apr 17th, 2026 - about 6 months 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 1447621289 NPPES
Pennsylvania MEDICAID 103230301

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