Kimberly Jo Burden, DMD
Individual provider Active NPI Dentist · Hartford, KY
NPI 1962500736 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962500736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 5797 (KY)
- Practice address
- 112 McMurtry Ave
Hartford, KY 42347 - Phone
- (270) 298-7696
- Fax
- (270) 298-7697
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5797 | KY | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5797 | KY | Yes |
Addresses
Primary practice location
112 McMurtry Ave
Hartford, KY 42347
Mailing address
112 McMurtry Ave
Hartford, KY 42347
Phone (270) 298-7696
Other providers in Hartford, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.