Individual
KYLE SAMUEL BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(828) 748-1121
Mailing address
1240 POORS FORD RD, RUTHERFORDTON, NC 28139-8724
(828) 748-1121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2024-01127
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2021
Last updated
08/13/2024
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