Individual
MR. KYLE S BURLINGAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. CCC-SLP
Contact information
Practice address
1062 W MERCURY BLVD STE B, HAMPTON, VA 23666-1068
(757) 644-0644
Mailing address
5219 GLENDORA CT, POWDER SPRINGS, GA 30127-5346
(609) 501-7266
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14341900
—
235Z00000X
Speech-Language Pathologist
Primary
2202012417
VA
235Z00000X
Speech-Language Pathologist
SLP011595
GA
Other
Enumeration date
06/01/2023
Last updated
07/28/2026
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