Provider Demographics
NPI:1598427478
Name:BURGIE, KAMEA
Entity Type:Individual
Prefix:
First Name:KAMEA
Middle Name:
Last Name:BURGIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 W HILLSBORO ST
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:AR
Mailing Address - Zip Code:71730-6911
Mailing Address - Country:US
Mailing Address - Phone:510-593-9110
Mailing Address - Fax:
Practice Address - Street 1:1235 W HILLSBORO ST
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:AR
Practice Address - Zip Code:71730-6911
Practice Address - Country:US
Practice Address - Phone:870-260-7990
Practice Address - Fax:870-639-1324
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-08
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty