NPI 1104645373
Kasondra Jo Burt, LPN
Practice location
- Address
- 104 Warren Rdg, Brandon, MS 39042-7932
- Phone
- (601) 910-5989
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1104645373
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Oct 2024
- Record last updated
- 7 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.