NPI 1003843343

Kenneth Ryan, MD

Practitioner Emergency Medicine Physician Pocatello, ID

Practice location

Address: 651 Memorial Dr, Pocatello, ID 83201-4071
Phone: (208) 239-1000

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence M7235 (ID)

Other Emergency Medicine providers in Idaho →

Registry record

NPI: 1003843343
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jun 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.