IndividualActive
Mary Burks, R.D.
NPI 1255600722 · Renal Nutrition Registered Dietitian · Princeton, WV
Provider details
- NPI number
- 1255600722
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- R.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 726-136 (WV)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
150 Courthouse Rd Ste 301-B
Princeton, WV 24740-2450
Phone: (304) 425-0162
Fax: (304) 425-0163
Approximate (ZIP-level) locationGet directions
Mailing address
2006 Devonshire Ct
Bluefield, WV 24701-1268
Registry dates
- Enumerated
- 2011-12-29
- Last updated
- 2023-04-25
- Certified
- 2023-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.