Ryan, Kathleen L

Ryan, Kathleen L is an individual health care provider with primary practice located at 204 Ark Rd Ste 206 Lmc I, Mount Laurel NJ 08054-3100. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is her primary health care specialty. Ryan, Kathleen L can be contacted via phone (856) 778-4640.

Contact Information

Primary practice address
204 Ark Rd Ste 206 Lmc I Mount Laurel NJ 08054-3100
Phone: (856) 778-4640
Fax: (856) 778-8862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA04982500 New Jersey
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 25MA04982500 New Jersey
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 25MA04982500 New Jersey

Profile Details

NPI number 1659356905
LBN Legal business name Ryan, Kathleen L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Mar 16th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659356905 NPPES
New Jersey MEDICAID 0123803

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