Mattingly, Kim
Mattingly, Kim is an sole proprietor health care provider with primary practice located at 985 Buffalo Lake Rd , Sanford NC 27332-2351. She recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as her primary health care specialty. Mattingly, Kim can be contacted via phone (910) 578-4180.Contact Information
Primary practice address
985 Buffalo Lake Rd
Sanford NC 27332-2351
Phone: (910) 578-4180
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | 001000656 | North Carolina |
Profile Details
| NPI number | 1558951657 |
|---|---|
| LBN Legal business name | Mattingly, Kim |
| Credentials | MSL, TSAC-F |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2021 |
| Last updated | Jan 22nd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558951657 | NPPES |
| North Carolina | Other | 001000656 | NSCA |
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