Type 1 individualNPI 1487571790

RYAN NATHANIEL KIRK

101YM0800X · MEDFORD, OR

Why this profile is appearing now

Observed change signals

Newly enumerated

The official enumeration date falls within the documented new-enumeration window.

  • Enumeration date is 24 days before observation

Reported classification

Taxonomies

CodeDescriptionSource flag
101YM0800X 101YM0800X Primary

Taxonomy reporting does not establish licensure, board certification, expertise, or quality.

Longitudinal record

Observed change timeline

  1. 0 recorded field change s