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Kaneisha Burrus
NPI 1124633029 · on the registry since 2020 · sole proprietor
Practice
- Address
- 10853 Mistflower Way
Indianapolis, IN 46235 - Phone
- (317) 406-1299
Registry record
- Primary taxonomy
- 3747A0650X
3747A0650X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana