Burnett, Kimberly
Burnett, Kimberly is an sole proprietor health care provider with primary practice located at 1031 S Bluff St Ste 214 , St George UT 84770-5206. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Burnett, Kimberly can be contacted via phone (801) 830-0349.Contact Information
Primary practice address
1031 S Bluff St Ste 214
St George UT 84770-5206
Phone: (801) 830-0349
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 9797033-3501 | Utah |
Profile Details
| NPI number | 1487057584 |
|---|---|
| LBN Legal business name | Burnett, Kimberly |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2014 |
| Last updated | Oct 17th, 2023 - about 3 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 | 1487057584 | NPPES |
| Utah | MEDICAID | 8717635 |
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