Ryan, Kenneth J

Ryan, Kenneth J is an individual health care provider with primary practice located at 1501 N Campbell Ave , Tucson AZ 85724-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Microbiology, which is considered as his primary health care specialty. Ryan, Kenneth J can be contacted via phone (520) 694-8888.

Contact Information

Primary practice address
1501 N Campbell Ave Tucson AZ 85724-0001
Phone: (520) 694-8888
Fax: (520) 626-6081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Microbiology 207ZM0300X 7742 Arizona

Profile Details

NPI number 1790855153
LBN Legal business name Ryan, Kenneth J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jul 8th, 2007 - about 17 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 1790855153 NPPES
Arizona MEDICAID 013194

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