MEDICARE: DR. KYLE MATTHEW DUNNING DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4441	NC

General Provider Information

NPI Number	:	1780008219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KYLE MATTHEW DUNNING DC

Provider Business Mailing Address
First Line	:	5344 CENTRAL AVE
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28212-2704
Country	:	US
Telephone Number	:	704-940-4000
Fax Number	:	704-940-4001

Provider Business Practice Location Address
First Line	:	8307 UNIVERSITY EXECUTIVE PARK DRIVE
Second Line	:	251
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-1363
Country	:	US
Telephone Number	:	980-201-9484
Fax Number	:	980-201-9126

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2014
Last Update Date	:	02/03/2022

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