Kenneth Ryan
Emergency Physician
651 Memorial Dr
Pocatello
, Idaho 83201-4071
Kenneth Ryan
Emergency Physician
651 Memorial Dr
Pocatello
, Idaho 83201-4071
(208) 239-1000
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Kenneth Ryan
- 651 Memorial Dr
- Pocatello, ID
- Zip : 83201-4071
- Phone : (208) 239-1000
Second Address
- Kenneth Ryan
- 651 Memorial Dr
- Pocatello, ID
- Zip : 83201-4071
- Phone : (208) 239-1000
Reviews
FAQs
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What type of doctor is Kenneth Ryan
In what state does Kenneth Ryan practice in?
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Is Kenneth Ryan a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | M7235 | ID |
National Provider Identifier
| NPI | 1003843343 |
|---|---|
| Provider Name | Kenneth Ryan |
| First Address | Pocatello, ID 83201-4071 |
| Second Address | Pocatello, ID 83201-4071 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G76555 | (02) | ID |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.