Individual
RYAN D KEARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
757 E 1ST ST, PRINEVILLE, OR 97754-2005
(541) 383-3005
(541) 383-1883
Mailing address
PO BOX 4228, PORTLAND, OR 97208-4228
(541) 383-3005
(541) 383-1883
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD203745
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500719609
—
OR
Enumeration date
05/26/2010
Last updated
09/18/2024
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