Individual
RYAN CHAR KELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 S COWLEY ST, SPOKANE, WA 99202-1332
(509) 252-1299
Mailing address
1334 N WHITMAN LN STE 200, LIBERTY LAKE, WA 99019-6034
(509) 413-0008
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
125.074341
IL
207N00000X
Dermatology Physician
36.161422
IL
207N00000X
Dermatology Physician
Primary
MD61557697
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2019
Last updated
07/26/2024
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