Provider Demographics
NPI:1780008219
Name:DUNNING, KYLE MATTHEW (DC)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:MATTHEW
Last Name:DUNNING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5344 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-2704
Mailing Address - Country:US
Mailing Address - Phone:704-940-4000
Mailing Address - Fax:704-940-4001
Practice Address - Street 1:8307 UNIVERSITY EXECUTIVE PARK DRIVE
Practice Address - Street 2:251
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-1363
Practice Address - Country:US
Practice Address - Phone:980-201-9484
Practice Address - Fax:980-201-9126
Is Sole Proprietor?:No
Enumeration Date:2014-02-04
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4441111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor