SearchIdahoDermatology Physician

Ryan Kelm

NPI 1043772627 · on the registry since 2019

Practice

Address
1831 N Lakewood Dr # 1
Coeur D Alene, ID 83814
Phone
(208) 215-7199
Clinicians at this address
2

Additional practice sites

  • 50 Staniford St # 250, Boston, MA

Registry record

Primary taxonomy
Dermatology Physician
207N00000X
Also registered as
Dermatology Physician
Student in an Organized Health Care Education/Training Program
Dermatology Physician
Licence states on file
WA, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho