Kelley, Ryan Michael

Kelley, Ryan Michael is an sole proprietor health care provider with primary practice located at 126 Rue Colette , Thibodaux LA 70301-5628. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Kelley, Ryan Michael can be contacted via phone (985) 625-0023.

Contact Information

Primary practice address
126 Rue Colette Thibodaux LA 70301-5628
Phone: (985) 625-0023
Fax: (985) 625-0022
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 214914 Louisiana

Profile Details

NPI number 1346855517
LBN Legal business name Kelley, Ryan Michael
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2020
Last updated Sep 14th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers