Individual
RYAN KINCHELOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1806 23RD AVE APT 314, SEATTLE, WA 98122-3287
(360) 995-3421
Mailing address
1806 23RD AVE APT 314, SEATTLE, WA 98122-3287
(360) 995-3421
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
61626860
WA
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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