Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 2011010500 | MO |
N | 207PP0204X | Pediatric Emergency Physician | 9407798 | KS |
N | 208000000X | Pediatrician | 0116020745 | VA |
NPI | 1376705624 |
---|---|
Provider Name | Dr. Rebecca K Burger |
First Address | Kansas City, MO 64108-4619 |
Second Address | Kansas City, MO 64108-4619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2008 |
Last Update Date | 05/11/2011 |