Kylie Yardley Burton, DC
Individual provider Active NPI Chiropractor · Roy, UT
NPI 1013421882 · NPPES record last updated Nov 30, 2017
Key facts
- NPI
- 1013421882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 10573074-1202 (UT)
- Practice address
- 1920 W 5200 S Ste 1
Roy, UT 84067-3467 - Phone
- (801) 390-1979
- NPI assigned
- Nov 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10573074-1202 | UT | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10573074-1202 | UT | Yes |
Addresses
Primary practice location
1920 W 5200 S Ste 1
Roy, UT 84067-3467
Mailing address
1920 W 5200 S Ste 1
Roy, UT 84067-3467
Other providers in Roy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.