National Provider Identifier

Kyla Burst, RDN

Kyla Burst, RDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Fairport, NY and a listed phone number of (650) 260-6579.

NPI 1730952912Fairport, NYRegistered Dietitian

Profile Overview

NPI
1730952912
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
October 31, 2023
Last Updated
August 22, 2024

Practice Location

  • 6 N Main St Ste 400H
  • Fairport, NY 14450-1556

Phone: (650) 260-6579

Specialties

  • Registered Dietitian (133V00000X)
Full Record
NPI
1730952912
Entity Type
Individual
Last Name
Burst
First Name
Kyla
Credential
RDN
Mailing Street Address
6 N Main St Ste 400H
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1556
Mailing Country
US
Mailing Phone
(650) 260-6579
Practice Street Address
6 N Main St Ste 400H
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1556
Practice Country
US
Practice Phone
(650) 260-6579
Enumeration Date
October 31, 2023
Last Updated
August 22, 2024
Sex
Female
Sole Proprietor
No
Certification Date
August 22, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)