Kitchen, Clyde K
Kitchen, Clyde K is an individual health care provider with primary practice located at 1321 N Harbor Blvd Suite 300, Fullerton CA 92835-4124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kitchen, Clyde K can be contacted via phone (714) 879-0023.Contact Information
Primary practice address
1321 N Harbor Blvd Suite 300
Fullerton CA 92835-4124
Phone: (714) 879-0023
Fax: (714) 526-2020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | C26481 | California |
Profile Details
| NPI number | 1346372398 |
|---|---|
| LBN Legal business name | Kitchen, Clyde K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Apr 23rd, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346372398 | NPPES |
| California | Other | P00665988 | RAIL ROAD MEDICARE |
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