Individual
RYAN KIRK LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3950 KEENE RD., WEST RICHLAND, WA 99353
(509) 942-3627
(509) 628-8335
Mailing address
3900 S ZINTEL WAY, KENNEWICK, WA 99338
(509) 942-3627
(509) 942-2268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA60051207
WA
363AM0700X
Medical Physician Assistant
Primary
PA60051207
WA
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0242614
LABOR & INDUSTRIES
WA
05
—
1245484781
—
WA
Enumeration date
11/11/2008
Last updated
03/07/2023
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