Healthcare Provider Details

I. General information

NPI: 1043240088
Provider Name (Legal Business Name): KARIN GWENDOLYN BURMEISTER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 03/05/2020
Certification Date: 03/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 E US HIGHWAY 54 STE 1C
CAMDENTON MO
65020-7320
US

IV. Provider business mailing address

139 E HWY 54 SUITE 1C
CAMDENTON MO
65020
US

V. Phone/Fax

Practice location:
  • Phone: 573-348-3050
  • Fax: 573-346-8446
Mailing address:
  • Phone: 573-346-3050
  • Fax: 573-346-8446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2002024753
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: