| Doctor Name: | KRISTEN JEAN BURNS |
| NPI Number: | 1164504429 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 0050-02299 |
| Business Practice Address: | 1200 Village Harbor Dr Lake Wylie, SC - 297109092 |
| Business Phone Number: | 8036312858 |
| Business Fax Number: | 8036312862 |
| Mailing Address: | 1200 Village Harbor Dr, LAKE WYLIE |
| State: | SC |
| Postal Code: | 297109092 |
| Phone Number: | 8036312858 |
| Fax Number: | 8036312862 |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 06/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0050-02299 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |