Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM MATTINGLY, MSL, TSAC-F
Active Sole ProprietorKIM MATTINGLY, MSL, TSAC-F is a Military Health Care Provider healthcare provider located in SANFORD, North Carolina. NPI 1558951657 is currently active in the NPPES registry. Verify at CMS.
Military Health Care Provider · SANFORD, NC
Registration Details
- NPI Number
- 1558951657
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 22, 2021 (5.5964493334629 yrs)
- Last Updated
- Jan 22, 2021
- License
-
001000656 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
985 BUFFALO LAKE RDSANFORD, NC, 273322351Browse NC providers · Browse ZIP 27332
- Phone
- 9105784180
- Primary Specialty
-
Military Health Care Provider
171000000X
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.