Provider Demographics
NPI:1134657729
Name:DARLING, KYLE WAYNE
Entity Type:Individual
Prefix:
First Name:KYLE
Middle Name:WAYNE
Last Name:DARLING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 CLUBHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27596-6629
Mailing Address - Country:US
Mailing Address - Phone:919-760-3225
Mailing Address - Fax:
Practice Address - Street 1:410 CLUBHOUSE DR
Practice Address - Street 2:
Practice Address - City:YOUNGSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27596-6629
Practice Address - Country:US
Practice Address - Phone:919-760-3225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician