Individual
JAMESON KYLE MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9430 PARK WEST BLVD STE 330, KNOXVILLE, TN 37923-4203
(865) 693-6065
(865) 531-6325
Mailing address
9430 PARK WEST BLVD STE 330, KNOXVILLE, TN 37923-4203
(865) 693-6065
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
62735
TN
207YX0901X
Otology & Neurotology Physician
Primary
62735
TN
Other
Enumeration date
04/06/2012
Last updated
12/09/2023
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