Kenneth C Ryan, APRN

NPI #1053747493 in Jacksonville Beach, Florida

Provider Information

NPI Number
1053747493
Entity Type
Individual
Name
Kenneth C Ryan, APRN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Credential
APRN
Enumeration Date
Sep 17, 2013
Last Updated
Feb 12, 2019

Practice Location

Address
1370 13TH AVE S STE 215
State
Florida
ZIP Code
32250-3206
Phone
(904) 249-1041

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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