Provider Demographics
NPI:1477927473
Name:MCBURNIE, KIMBERLY PAMELA (RN)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:PAMELA
Last Name:MCBURNIE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:PROF
Other - First Name:KIMBERLY
Other - Middle Name:PAMELA
Other - Last Name:MCBURNIE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:3244 WINTON RD S
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-5969
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3244 WINTON RD S
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-5969
Practice Address - Country:US
Practice Address - Phone:516-661-9334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-15
Last Update Date:2015-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY598408163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse