Burnett, Kolleen

Burnett, Kolleen is an sole proprietor health care provider with primary practice located at 5409 Avenue O , Fort Madison IA 52627-9601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Burnett, Kolleen can be contacted via phone (319) 376-2134.

Contact Information

Primary practice address
5409 Avenue O Fort Madison IA 52627-9601
Phone: (319) 376-2134
Fax: (319) 376-2188
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-105825 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4236 Iowa

Profile Details

NPI number 1326131665
LBN Legal business name Burnett, Kolleen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2006
Last updated Feb 24th, 2012 - about 14 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 1326131665 NPPES
Iowa MEDICAID 1326131665
Iowa MEDICAID 036105825
Iowa Other 132131665

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