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

Kellen Byrne

Individual provider Family Medicine Physician · NPI 1629782511

Kellen Byrne is a Nurse Practitioner in Spokane, Washington. Qualified in 2022, 4 years ago. Practices with Ideal Option PLLC, a 91-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

26 E 5th Ave
Spokane, WA 99202-1309
Phone: (509) 444-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP61386726 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence AP61386726 (WA)

Record details

NPI number1629782511
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 6, 2023
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025
Mailing address500 Sw 7th St Ste A205, Renton, WA 98057-2983

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ideal Option Pllc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Spokane