Provider Demographics
NPI:1881480416
Name:BURNS, KYLE JOHN
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:JOHN
Last Name:BURNS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WVU MEDICINE PODIATRIC MEDICINE AND SURGERY RESIDENCY
Mailing Address - Street 2:40 MEDICAL PARK SUITE 401
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003
Mailing Address - Country:US
Mailing Address - Phone:304-243-2995
Mailing Address - Fax:
Practice Address - Street 1:WVU MEDICINE PODIATRIC MEDICINE AND SURGERY
Practice Address - Street 2:40 MEDICAL PARK SUITE 401
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003
Practice Address - Country:US
Practice Address - Phone:304-243-2995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program