| NPI | 1740835164 |
|---|---|
| Former Name | KIMBERLY KAY BURRESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4007045) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 28134347A) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2023-10-13 |