Healthcare Provider Details

I. General information

NPI: 1689507618
Provider Name (Legal Business Name): KAREN BURNS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1217 W FAYETTE ST
BALTIMORE MD
21223-1938
US

IV. Provider business mailing address

1217 W FAYETTE ST
BALTIMORE MD
21223-1938
US

V. Phone/Fax

Practice location:
  • Phone: 410-727-3947
  • Fax:
Mailing address:
  • Phone: 410-727-3947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberR135158
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: