Individual
CLEM RYAN KIRKLAND
Active
Individual
CLEM RYAN KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35122088
OH
207N00000X
Dermatology Physician
FK1416812
DC
207ND0101X
MOHS-Micrographic Surgery Physician
35122088
OH
207NS0135X
Procedural Dermatology Physician
35122088
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000824343
ANTHEM BC/BS
OH
01
—
3526464
UNITED HEALTH CARE
OH
01
—
9635948
AETNA
OH
Enumeration date
05/25/2007
Last updated
06/08/2017
Update your record
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