Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kim Mattingly, MSL, TSAC-F

Individual provider Military Health Care Provider · NPI 1558951657

Kim Mattingly, MSL, TSAC-F is a Military Health Care Provider in Sanford, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021
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Practice location Address checks out

985 Buffalo Lake Rd
Sanford, NC 27332-2351
Phone: (910) 578-4180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X · Licence 001000656 (NC)

Record details

NPI number1558951657
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSL , TSAC-F
Sole proprietorYes
NPI enumeratedJanuary 22, 2021
Last updated in NPPESJanuary 22, 2021
Certification dateJanuary 22, 2021

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