Burris, Kathy A
Burris, Kathy A is an individual health care provider with primary practice located at 909 Regal Dr , North Little Rock AR 72118-2639. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Burris, Kathy A can be contacted via phone (501) 753-7296.Contact Information
Primary practice address
909 Regal Dr
North Little Rock AR 72118-2639
Phone: (501) 753-7296
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT148 | Arkansas |
Profile Details
| NPI number | 1770512196 |
|---|---|
| LBN Legal business name | Burris, Kathy A |
| Credentials | MS ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770512196 | NPPES |
| Arkansas | Other | AT148 | ATHLETIC TRAINER |
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