Provider Demographics
NPI:1437388758
Name:BURNS, KAMIE HARKNESS (LOTR)
Entity Type:Individual
Prefix:MRS
First Name:KAMIE
Middle Name:HARKNESS
Last Name:BURNS
Suffix:
Gender:F
Credentials:LOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 WINDSONG DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-0911
Mailing Address - Country:US
Mailing Address - Phone:225-933-0535
Mailing Address - Fax:225-987-9041
Practice Address - Street 1:3801 WINDSONG DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-0911
Practice Address - Country:US
Practice Address - Phone:225-933-0535
Practice Address - Fax:225-987-9041
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-08
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT.Z11827172V00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No174400000XOther Service ProvidersSpecialist