Clark, Kyra P

Clark, Kyra P is an sole proprietor health care provider with primary practice located at 650 E Indian School Rd , Phoenix AZ 85012-1839. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as her primary health care specialty. Clark, Kyra P can be contacted via phone (602) 277-5551.

Contact Information

Primary practice address
650 E Indian School Rd Phoenix AZ 85012-1839
Phone: (602) 277-5551
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X C1-0007849 Delaware
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X P0967 Texas
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 68133 Georgia

Profile Details

NPI number 1871552968
LBN Legal business name Clark, Kyra P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2006
Last updated Oct 8th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871552968 NPPES
Georgia MEDICAID 003125645B
Georgia MEDICAID 003125645F

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