Physician Compare National (NPI:1629457072)

HEALTHCARE PROVIDER: CLIFFORD KYE D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1629457072
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062778640
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20171115000781
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KYE
	Individual professional last name
Provider First Name	CLIFFORD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ADDICTION MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ADDICTION MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	CHARLOTTE HUNGERFORD HOSPITAL
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4486557501
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	119
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	538 LITCHFIELD ST
	Group Practice or individual's line 1 address
City	TORRINGTON
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	067906669
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M