Keverin Burns

NPI #1396978961 in Victor, Idaho

Provider Information

NPI Number: 1396978961
Entity Type: Individual
Name: Keverin Burns
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Aug 31, 2009
Last Updated: Aug 31, 2009

Practice Location

Address: 1164 BROOKTROUT DR
City: Victor
State: Idaho
ZIP Code: 83455-4994
Phone: (208) 787-4483

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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