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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659356905 | NPPES |
| New Jersey | MEDICAID | 0123803 |
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