Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KOLLEEN BURNETT
Active Sole ProprietorPediatrics · FORT MADISON, IA
Registration Details
- NPI Number
- 1326131665
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 1, 2006 (19.615898405588 yrs)
- Last Updated
- Feb 24, 2012
- Licenses
-
036-105825 (IL)4236 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5409 AVENUE OFORT MADISON, IA, 526279601Browse IA providers · Browse ZIP 52627
- Phone
- 3193762134
- Fax
- 3193762188
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in FORT MADISON, IA
| Name | Credential | NPI |
|---|---|---|
| SUSAN E TEGGATZ | MD | 1578542668 |
| CURT C. MCCLELLAN | DO | 1558331389 |
| GREGORY F GORSKI | M.D. | 1073707345 |
| BRYAN CHRISTOPHER BLACKER | M.D. | 1528590189 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.