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Active NPI 1003032434 Individual Practitioner Male Practitioner

Kyle Eugene Clyde , LMP

Specialist • Edgewood, WA

Professional Overview & Biography Verified Profile Summary

Kyle Clyde, LMP is a registered healthcare professional specializing in Specialist in Edgewood, WA. Practice services are available at 2809 MERIDIAN E. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2809 Meridian E.

Edgewood, WA 98371

Telephone 2538401100
Fax 2538401199
Associated Practice Facility / Clinic
🏢 Ronald O. Acosta, D.c. Pllc Facility NPI 1457479529

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Edgewood, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Edgewood, WA (2751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MA00015312

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Monica Bruenn , LMT

Massage Therapist

NPI 1023668878

Licensed Massage Therapist

Ammar Hussain , LMT

Massage Therapist

NPI 1093413916

Licensed Massage Therapist

Josephine Bruenn , LMT

Massage Therapist

NPI 1104477272

Licensed Massage Therapist

NPI 1396810685

Doctor of Chiropractic

Mollijoy Boersema

Massage Therapist

NPI 1497196182
NPI 1740303049

Licensed Massage Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2809 MERIDIAN E., EDGEWOOD, WA 98371 (Tel: 2538401100)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2809 MERIDIAN E., EDGEWOOD, WA 98371 (Tel: 2538401100)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KYLE CLYDE, LMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #MA00015312 in WA)

🟢
Initial NPI Registration & Enumeration April 17, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003032434
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

2809 Meridian E.

Edgewood, WA 98371

Phone: 2538401100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.