Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Kimberly Burgess, AGNP-C

Individual provider Nurse Practitioner · NPI 1164956066

Mrs. Kimberly Burgess, AGNP-C is a Nurse Practitioner in O Fallon, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017

Practice location Address checks out

670 Pierce Blvd
O Fallon, IL 62269-2579
Phone: (618) 206-2094
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209015757 (IL)

Record details

NPI number1164956066
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedApril 18, 2017
Last updated in NPPESDecember 29, 2021
Certification dateDecember 29, 2021

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