Individual
DR. RYAN KAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
427 12TH ST, PLUMMER, ID 83851-4000
(208) 686-1931
Mailing address
PO BOX 388, PLUMMER, ID 83851-0388
(208) 686-1931
(208) 686-0213
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001965A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192345
BC/BS PROVIDER #
IN
05
—
200324320(A)
—
IN
Enumeration date
10/11/2006
Last updated
11/19/2021
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