Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYRA P CLARK, M.D.
Active Sole ProprietorKYRA P CLARK, M.D. is a Sports Medicine (IM) healthcare provider located in PHOENIX, Arizona. NPI 1871552968 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · PHOENIX, AZ
Registration Details
- NPI Number
- 1871552968
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 20, 2006 (20.421093040872 yrs)
- Last Updated
- Oct 8, 2020
- Licenses
-
C1-0007849 (DE)P0967 (TX)68133 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
650 E INDIAN SCHOOL RDPHOENIX, AZ, 850121839Browse AZ providers · Browse ZIP 85012
- Phone
- 6022775551
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Sports Medicine (IM)
- Additional Specialty
- Sports Medicine (IM)
Other Sports Medicine (IM) Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| NAJMA USMANI | MD | 1861491342 |
| DR. MOHAMMAD MADANTSCHI | MD | 1710103023 |
| DR. JEFFREY LAWRENCE MOLLER | M.D | 1083856173 |
| DR. FRANCISCO JAVIER MARQUEZ II | M.D. | 1780118133 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.