NPI 1003032434

Kyle Eugene Clyde, LMP

Practitioner Specialist Edgewood, WA

Practice location

Address: 2809 Meridian E., Edgewood, WA 98371
Phone: (253) 840-1100
Fax: (253) 840-1199

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MA00015312 (WA)

Other Specialist providers in Washington →

Registry record

NPI: 1003032434
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.