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

Ryan Char Kelm

Individual provider Dermatology Physician · NPI 1043772627

Ryan Char Kelm is a Dermatology in Coeur D Alene, Idaho. Graduated from University of Oklahoma College of Medicine in 2019, 7 years ago. Practices with Chesnut MD, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Washington.

Years since qualifying
7
Trained at
University of Oklahoma College of Medicine
Licensed in
IL, WA
In the registry since
2019
Specialties on file
4

Practice location Address checks out

1831 N Lakewood Dr # 1
Coeur D Alene, ID 83814-2669
Phone: (208) 215-7199
Show map & directions

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

Additional practice locations (1)

  • 50 Staniford St # 250, Boston, MA 02114-2517 — (617) 724-6960

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD61557697 (WA)
Dermatology Physician Taxonomy 207N00000X · Licence 36.161422 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Dermatology Physician Taxonomy 207N00000X · Licence 125.074341 (IL)

Record details

NPI number1043772627
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2019
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Chesnut Md — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coeur D Alene