NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

KYLE E CLYDE, LMP
2809 MERIDIAN E.
EDGEWOOD, WA98371
 Phone: 253-840-1100
 Fax: 253-840-1199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for KYLE E CLYDE · (Male)

NPI Number 1003032434
Status Active
Credentials LMP (Licensed Medical Practitioner)
Entity Individual
Enumeration date 04/17/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MA00015312
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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