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General NPI Number Information
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NPI Number | 1356978100
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Entity Type | Individual
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Provider Name | KYRA NICOLE MCCOMAS MD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 700 W IRONWOOD DR STE 130
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City | COEUR D ALENE
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State | ID
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Zip | 83814-4404
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Country | US
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Telephone | 208-754-3100
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Fax | 208-754-3190
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Provider Business Mailing Address
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Address Line | 1204 N VERCLER RD
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-1020
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Country | US
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Telephone | 509-228-1000
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Fax | 509-252-9444
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 61631519
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 2571647
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License Number State | ID
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