Provider Demographics
NPI:1831298793
Name:BURNS, KATHI L (LMT)
Entity Type:Individual
Prefix:
First Name:KATHI
Middle Name:L
Last Name:BURNS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 COLLEGE DR
Mailing Address - Street 2:P O BOX 505
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71359-1000
Mailing Address - Country:US
Mailing Address - Phone:318-729-4444
Mailing Address - Fax:
Practice Address - Street 1:1140 COLLEGE DR
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71359-1000
Practice Address - Country:US
Practice Address - Phone:318-729-4444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1376174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist