person
Kellan Matthew Burdine
Licensed Practical Nurse in Tacoma, Washington
NPI 1407458110

Kellan Matthew Burdine is a Licensed Practical Nurse based in Tacoma, WA. Kellan Matthew Burdine practices in Tacoma, WA. The NPI Number for Kellan Matthew Burdine is 1407458110 and holds a License No. 348966 (Washington).

The current practice location address for Kellan Matthew Burdine is 9040 Jackson Ave, Attn: Mchj-Clq-C, Tacoma, WA and can be reached out via phone at 520-275-3851.

Location: 9040 Jackson Ave, Attn: Mchj-Clq-C, Tacoma, WA, 98431-1100
person
Provider Profile Details
NPI Number
1407458110
Provider Name
Kellan Matthew Burdine
Credential
Provider Entity Type
Individual
Gender
Male
Address
9040 Jackson Ave, Attn: Mchj-Clq-C, Tacoma, WA, 98431-1100
Phone Number
520-275-3851
Fax Number
Provider Enumeration Date
11/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9040 Jackson Ave, Attn: Mchj-Clq-C
City
State
Zip
98431-1100
Phone Number
520-275-3851
Fax Number
person
Provider Business Mailing Address Details
Address
9040 Jackson Ave, Attn: Mchj-Clq-C
City
State
Zip
98431-1100
Phone Number
520-275-3851
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
348966 (Texas)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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