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Individual

KYLE E WAMELINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 407-4700
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 765-0710

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
641
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
1299
MA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
641
NC
213ES0131X
Foot Surgery Podiatrist
641
NC

Other

Enumeration date
06/12/2013
Last updated
04/15/2024
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