Provider Demographics
NPI:1215682844
Name:BURGINS, KIANNA (LPN)
Entity type:Individual
Prefix:
First Name:KIANNA
Middle Name:
Last Name:BURGINS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 MULL AVE APT 1R
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-7537
Mailing Address - Country:US
Mailing Address - Phone:202-713-6813
Mailing Address - Fax:
Practice Address - Street 1:945 MULL AVE APT 1R
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-7537
Practice Address - Country:US
Practice Address - Phone:202-713-6813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.173526.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse