# DR. JOHN KITTRELL CLYDE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831402841
- **Gender:** Man
- **Credential:** D.P.M.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | PO60253252 | WA | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO60253252 | WA | Yes |

## Other

- **Enumeration date:** 07/19/2010
- **Last updated:** 08/22/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2020121 | — | WA |