Individual
DR. JOHN KITTRELL CLYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
526 N MULLAN RD, SPOKANE VALLEY, WA 99206-2408
(099) 242-6005
(509) 926-9865
Mailing address
526 N MULLAN RD, SPOKANE VALLEY, WA 99206-2408
(509) 924-2600
(509) 926-9865
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO60253252
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO60253252
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020121
—
WA
Enumeration date
07/19/2010
Last updated
08/22/2024
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