Provider Demographics
NPI:1508010513
Name:DOWNING, KYRA CORINNE (PAC)
Entity Type:Individual
Prefix:MS
First Name:KYRA
Middle Name:CORINNE
Last Name:DOWNING
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:121 BECKS WOODS DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-3833
Mailing Address - Country:US
Mailing Address - Phone:302-261-5600
Mailing Address - Fax:302-832-4302
Practice Address - Street 1:121 BECKS WOODS DR
Practice Address - Street 2:SUITE 100
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-3833
Practice Address - Country:US
Practice Address - Phone:302-261-5600
Practice Address - Fax:302-836-4302
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC5-0000643363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical