Provider Demographics
NPI:1427103811
Name:BURPEE, KARA LYN (LAC)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:LYN
Last Name:BURPEE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 CARBON ST STE 5
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-6414
Mailing Address - Country:US
Mailing Address - Phone:406-690-0849
Mailing Address - Fax:406-969-4514
Practice Address - Street 1:712 CARBON ST STE 5
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102
Practice Address - Country:US
Practice Address - Phone:406-690-0849
Practice Address - Fax:406-969-4514
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT184171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist