Provider Demographics
NPI:1205143609
Name:BURNS, KIMBERLY JOANN (ARNP)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:JOANN
Last Name:BURNS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:JOANN
Other - Last Name:MCNEMAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:302 N HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:KS
Mailing Address - Zip Code:66743-2000
Mailing Address - Country:US
Mailing Address - Phone:620-724-8291
Mailing Address - Fax:
Practice Address - Street 1:419 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ARMA
Practice Address - State:KS
Practice Address - Zip Code:66712-4126
Practice Address - Country:US
Practice Address - Phone:620-347-4711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-75163-011363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner