Provider Demographics
NPI:1356978100
Name:MCCOMAS, KYRA NICOLE (MD)
Entity type:Individual
Prefix:DR
First Name:KYRA
Middle Name:NICOLE
Last Name:MCCOMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 W IRONWOOD DR STE 130
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-4404
Mailing Address - Country:US
Mailing Address - Phone:208-754-3100
Mailing Address - Fax:208-754-3190
Practice Address - Street 1:700 W IRONWOOD DR STE 130
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-4404
Practice Address - Country:US
Practice Address - Phone:208-754-3100
Practice Address - Fax:208-754-3190
Is Sole Proprietor?:No
Enumeration Date:2020-03-23
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA616315192085R0001X
390200000X
ID25716472085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program