Kylie Noel Burton
Nurse Practitioner, Family in Logansport, IN. Individual provider (NPI-1).
NPI number1942984992
StatusActive
Last updated in NPPESApr 10, 2024
Details
- NPI
- 1942984992
- Entity type
- Individual (NPI-1)
- Name
- Kylie Noel Burton
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 12, 2023
- Certification date
- Apr 10, 2024
- Last updated
- Apr 10, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F06230070 | IN | Yes |
Practice location
1201 Michigan AveLogansport, IN 46947-1580
Phone 765-244-7762
Mailing address
2420 W 600 NPeru, IN 46970-8124
Phone 765-244-7762
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