Individual provider · Type 1 NPI

Ellie Kathryn Burdg

Student in an Organized Health Care Education/Training Program · Bristol, TN

NPI number 1972271997 Active

Practice location

208 Medical Park Blvd
Bristol, TN 37620-7343

Call (423) 989-4050 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972271997

Ellie Kathryn Burdg's National Provider Identifier is 1972271997, issued on Sep 3, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bristol, TN. The record was last updated on Oct 7, 2026.