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Contact Information

KIM B BURGESS, PHD
3259 CATLIN AVE
QUANTICO, VA22134-5109
 Phone: 703-784-1779
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KIM B BURGESS · (Female)

NPI Number 1578643243
Status Active
Credentials PHD
Entity Individual
Enumeration date 10/17/2006
Last updated 04/14/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MD License # 03725
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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