# KYRA P CLARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1871552968
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 68133 | GA | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | C1-0007849 | DE | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | P0967 | TX | — |

## Other

- **Enumeration date:** 03/20/2006
- **Last updated:** 10/08/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003125645B | — | GA |
| 05 | — | 003125645F | — | GA |