Individual
RYAN PETER KINNAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2549 N STOKESBERRY PL, MERIDIAN, ID 83646-1144
(478) 449-5275
Mailing address
2549 N STOKESBERRY PL, MERIDIAN, ID 83646-1144
(478) 449-5275
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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