Individual provider · Type 1 NPI

Kyle Eugene Clyde, LMP

Specialist · Edgewood, WA

NPI number 1003032434 Active

Practice location

2809 Meridian E.
Edgewood, WA 98371

Fax (253) 840-1199

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA00015312 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1003032434

Kyle Eugene Clyde, LMP's National Provider Identifier is 1003032434, issued on Apr 17, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Edgewood, WA. The record was last updated on Jul 8, 2007.