Individual
KAYLA JO BURCHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Mailing address
430 20TH AVE E, WEST FARGO, ND 58078-4233
(701) 261-8785
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13094
ND
208600000X
Surgery Physician
RL11274
ND
Other
Enumeration date
07/02/2009
Last updated
01/31/2024
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