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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAMESON KYLE MATTINGLY, M.D.

Active

Otolaryngic Allergy · KNOXVILLE, TN

Registration Details

NPI Number
1255697975
Provider Type
Individual
Gender
Male
NPI Issued
Apr 6, 2012 (14.084870513147 yrs)
Last Updated
Dec 9, 2023
Licenses
62735 (TN)
62735 (TN)

Practice Information

Address
9430 PARK WEST BLVD STE 330
KNOXVILLE, TN, 379234203
Browse TN providers · Browse ZIP 37923
Phone
8656936065
Fax
8655316325
Primary Specialty
Otolaryngic Allergy
207YX0901X
Additional Specialty
Otolaryngic Allergy
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.