Burghgraef, Kyle Brian

Burghgraef, Kyle Brian is an individual health care provider with primary practice located at 5030 N Walnut St , South Bloomfield OH 43103-1018. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Burghgraef, Kyle Brian can be contacted via phone (740) 983-0015.

Contact Information

Primary practice address
5030 N Walnut St South Bloomfield OH 43103-1018
Phone: (740) 983-0015
Fax: (740) 983-4763
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 35139089 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35139089 Ohio

Profile Details

NPI number 1497286629
LBN Legal business name Burghgraef, Kyle Brian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2017
Last updated Feb 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497286629 NPPES
Ohio MEDICAID 0396565

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