Individual
RYAN LEE KJOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11215 METRO PKWY STE 1, FORT MYERS, FL 33966-1206
(239) 208-2212
Mailing address
11215 METRO PKWY STE 1, FORT MYERS, FL 33966-1206
(239) 208-2212
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M7336
TX
2084P0800X
Psychiatry Physician
ME152096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200795704
—
TX
Enumeration date
08/08/2008
Last updated
05/02/2023
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