Ryan, Kenneth C

Ryan, Kenneth C is an sole proprietor health care provider with primary practice located at 1370 13Th Ave S Ste 215 , Jacksonville Beach FL 32250-3206. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Ryan, Kenneth C can be contacted via phone (904) 249-1041.

Contact Information

Primary practice address
1370 13Th Ave S Ste 215 Jacksonville Beach FL 32250-3206
Phone: (904) 249-1041
Fax: (904) 249-9764
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9367359 Florida

Profile Details

NPI number 1053747493
LBN Legal business name Ryan, Kenneth C
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2013
Last updated Feb 12th, 2019 - 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.

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