Provider Demographics
NPI:1578989653
Name:BURNETTE, KYLE DAVID II (DO)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:DAVID
Last Name:BURNETTE
Suffix:II
Gender:M
Credentials:DO
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Mailing Address - Street 1:117 FOOTHILLS DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-5152
Mailing Address - Country:US
Mailing Address - Phone:828-580-2700
Mailing Address - Fax:
Practice Address - Street 1:117 FOOTHILLS DR
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-5152
Practice Address - Country:US
Practice Address - Phone:828-580-2700
Practice Address - Fax:828-432-9833
Is Sole Proprietor?:No
Enumeration Date:2014-03-12
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2017-01088207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1578989653Medicaid