Kyle Justin Tam, BS
Counselor · Mattoon, IL
NPI number
1114697422
Practice location
750 Broadway Ave EMattoon, IL 61938-4610
- Phone
- (217) 238-5700
NPI record
- NPI
- 1114697422
- Entity type
- Individual (Type 1)
- Enumeration date
- September 17, 2021
- Last updated
- September 17, 2021
- Certified
- September 17, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X |
— | — |
About Kyle Tam
Kyle Justin Tam, BS is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 750 Broadway Ave E, Mattoon, IL 61938-4610. The NPI number 1114697422 was assigned on September 17, 2021 and the record was last updated on September 17, 2021.
Frequently asked questions
What is the NPI number of Kyle Justin Tam, BS?
The NPI number is 1114697422.
What is the phone number of Kyle Tam?
The phone number listed for the practice location is (217) 238-5700.
Where is Kyle Tam located?
750 Broadway Ave E, Mattoon, IL 61938-4610.
What is the taxonomy code for Kyle Tam?
The primary taxonomy code is 101Y00000X – Counselor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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