Doctor Name: | MRS. KIMBERLY SUE BURNS |
NPI Number: | 1164758322 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | RN073196 |
Business Practice Address: | 5983 Highway 53 E Dawsonville, GA - 305349513 |
Business Phone Number: | 7062654100 |
Business Fax Number: | |
Mailing Address: | 245 Fred Burns Rd, DAHLONEGA |
State: | GA |
Postal Code: | 305337902 |
Phone Number: | 7068643067 |
Fax Number: | |
NPI Enumeration Date: | 10/22/2009 |
NPI Last Update Date: | 01/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN073196 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |