Ryan Char Kelm
Dermatology in Coeur D Alene, ID. Individual provider (NPI-1).
NPI number1043772627
StatusActive
Last updated in NPPESJul 28, 2026
Details
- NPI
- 1043772627
- Entity type
- Individual (NPI-1)
- Name
- Ryan Char Kelm
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2019
- Certification date
- Jul 28, 2026
- Last updated
- Jul 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | MD61557697 | WA | Yes |
| 207N00000X | Dermatology | 36.161422 | IL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 207N00000X | Dermatology | 125.074341 | IL |
Practice location
1831 N Lakewood Dr # 1Coeur D Alene, ID 83814-2669
Phone 208-215-7199
Mailing address
1334 N Whitman Ln Ste 200Liberty Lake, WA 99019-6034
Phone 509-413-0008
Other practice locations
50 Staniford St # 250
Boston, MA 02114-2517
Boston, MA 02114-2517
Phone 617-724-6960
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All 9 Dermatology Physician providers in Coeur D Alene · All 2,988 providers in Coeur D Alene
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