Individual
KYLE J BURKHAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2321 STOUT RD, MENOMONIE, WI 54751
(715) 235-9671
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2931
MN
363A00000X
Physician Assistant
Primary
2931
WI
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/25/2012
Last updated
06/25/2021
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