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Individual

CLYDE A KYLE III

Active
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Individual

CLYDE A KYLE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD18567
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009936278
AL
05
3039823
TN
05
3039827
TN
05
3039828
TN
05
375315348
GA
01
P00283352
RR MCARE-ADR
TN
01
P00299518
RR MCARE-CI
TN
Enumeration date
12/22/2005
Last updated
03/07/2023
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