RYAN KELM

SHREVEPORT, LA
NPI1619611936
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  7704)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-22
Last Update Date2025-06-21
Business Address
RYAN KELM DDS, MD
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0547
Mailing Address
RYAN KELM DDS, MD
1846 FAIRFIELD AVE APT 703
SHREVEPORT, LA 71101-4455
Phone number:
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