Kenneth Ryan MD

NPI 1003843343 - Emergency Medicine - 207P00000X

NPI Details
NPI 1003843343
Gender Male
Enumeration Date 06/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
651 MEMORIAL DR
POCATELLO ID, 83201-4071, US
Phone (208) 239-1000
Fax
Business Location
651 MEMORIAL DR
POCATELLO ID, 83201-4071, US
Phone (208) 239-1000
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Idaho
License Number M7235
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According to our database, Kenneth Ryan MD NPI is 1003843343, taxonomy code is 207P00000X and license number is M7235, license state is located at Idaho. Kenneth Ryan MD physically located at 651 Memorial Dr, Pocatello ID, 83201-4071. NPI Number Kenneth Ryan MD has the Individual type.

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1003843343 NPI number is provided on an as is basis without warranty of any kind. 1003843343 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Ryan MD are for informational purposes only.