Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clem Ryan Kirkland, MD

Individual provider Dermatology Physician · NPI 1164633467

Clem Ryan Kirkland, MD is a Micrographic Dermatologic Surgery (Mds) in Columbus, Ohio. Graduated from Northeastern Ohio University College of Medicine in 2005, 21 years ago. Practices with Dermatologists of Southwestern Ohio, LLC, a 116-clinician group and accepts Medicare assignment. Licensed in District of Columbia and Ohio.

Years since qualifying
21
Trained at
Northeastern Ohio University College of Medicine
Licensed in
DC, OH
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3555 Olentangy River Rd Ste 4000
Columbus, OH 43214-3912
Phone: (614) 268-2748
Fax: (614) 263-3376
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 35122088 (OH)
Dermatology Physician Taxonomy 207N00000X · Licence FK1416812 (DC)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 35122088 (OH)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 35122088 (OH)

Record details

NPI number1164633467
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 25, 2007
Last updated in NPPESJune 8, 2017
Mailing address3555 Olentangy River Rd, Suite 4000, Columbus, OH 43214-3912

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Also practisesDERMATOLOGY
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Dermatologists Of Southwestern Ohio, Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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