Individual
KYLE CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001280974
VA
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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