Individual provider · NPI-1

Kayla Jo Burchill, MD

Surgery · Fargo, ND

NPI number1720217425
StatusActive
Last updated in NPPESJan 31, 2024

Details

NPI
1720217425
Entity type
Individual (NPI-1)
Name
Kayla Jo Burchill
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 2, 2009
Certification date
Jan 31, 2024
Last updated
Jan 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery13094NDYes
208600000X SurgeryRL11274ND

Practice location

2101 Elm St N
Fargo, ND 58102-2417

Phone 701-239-3700

Mailing address

430 20th Ave E
West Fargo, ND 58078-4233

Phone 701-261-8785

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