Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RYAN KENNETH AVERETT, D.P.M.
Active Sole ProprietorMR. RYAN KENNETH AVERETT, D.P.M. is a Podiatrist healthcare provider located in COEUR D ALENE, Idaho. NPI 1629065610 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1629065610
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2005 (20.671245365318 yrs)
- Last Updated
- Apr 22, 2016
- License
-
P177 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2221 N IRONWOOD CENTER DRCOEUR D ALENE, ID, 838142697Browse ID providers · Browse ZIP 83814
- Phone
- 2086673585
- Fax
- 8558648364
- Primary Specialty
-
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.