Healthcare Provider Details

I. General information

NPI: 1033380381
Provider Name (Legal Business Name): KRISTINA KAY BURTON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2008
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1029 NICHOLS RD STE 201
OSAGE BEACH MO
65065-3008
US

IV. Provider business mailing address

1029 NICHOLS RD STE 201
OSAGE BEACH MO
65065-3008
US

V. Phone/Fax

Practice location:
  • Phone: 573-302-7138
  • Fax: 573-302-4686
Mailing address:
  • Phone: 573-302-7138
  • Fax: 573-302-4686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number225167
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2001028895
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: