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

Kenneth Ryan, MD

Individual provider Emergency Medicine Physician · NPI 1003843343

Kenneth Ryan, MD is an Emergency Medicine Physician in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
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

651 Memorial Dr
Pocatello, ID 83201-4071
Phone: (208) 239-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence M7235 (ID)

Record details

NPI number1003843343
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESJuly 8, 2007
Mailing address651 Memorial Dr, Pocatello, ID 83201-4071

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