Kimberly Michelle Burns

Individual provider Active NPI Licensed Practical Nurse · Shenandoah, IA

NPI 1497612238 · NPPES record last updated Jan 5, 2026

Key facts

NPI
1497612238
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
P40145 (IA)
Practice address
2043 A Ave
Shenandoah, IA 51601-4505
Phone
(712) 246-0092
Fax
(612) 725-1254
NPI assigned
Jan 5, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P40145IAMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X P40145 IA Yes

Addresses

Primary practice location

2043 A Ave
Shenandoah, IA 51601-4505

Mailing address

2043 A Ave
Shenandoah, IA 51601-4505
Phone (712) 246-0092

Other providers in Shenandoah, IA

All providers in Shenandoah, IA · Licensed Practical Nurse in Iowa

Sources for this page

Verify at the official NPI Registry.