Individual
KYLE BRIAN BURGHGRAEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5030 N WALNUT ST, SOUTH BLOOMFIELD, OH 43103-1018
(740) 983-0015
(740) 983-4763
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35139089
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
35139089
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0396565
—
OH
Enumeration date
03/21/2017
Last updated
04/14/2026
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