Individual
KYLE ALAN VANMIDDLESWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 792-2300
Mailing address
169 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-2300
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1680
SC
2085R0204X
Vascular & Interventional Radiology Physician
1680
SC
Other
Enumeration date
07/25/2012
Last updated
05/28/2025
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