Individual
KYLE SCOTT TAMMINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7011 FAYETTEVILLE RD STE 200, DURHAM, NC 27713-7745
(919) 361-2644
(919) 484-0849
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2019-01453
NC
207Q00000X
Family Medicine Physician
Primary
218429
NC
Other
Enumeration date
05/11/2016
Last updated
05/19/2023
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