Provider Demographics
NPI:1316737224
Name:KMB VISIONPROJECT, LLC
Entity type:Organization
Organization Name:KMB VISIONPROJECT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BURNO
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:319-535-0015
Mailing Address - Street 1:1122 SHERIDAN AVE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-5651
Mailing Address - Country:US
Mailing Address - Phone:319-400-7478
Mailing Address - Fax:
Practice Address - Street 1:1122 SHERIDAN AVE
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-5651
Practice Address - Country:US
Practice Address - Phone:319-400-7478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty