MR. Kelly Tilman Ryan, LMSW

NPI #1306290556 in Des Moines, Iowa

Provider Information

NPI Number: 1306290556
Entity Type: Individual
Name: MR. Kelly Tilman Ryan, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Apr 13, 2016
Last Updated: Apr 13, 2016

Practice Location

Address: 945 19TH ST
City: Des Moines
State: Iowa
ZIP Code: 50314-1117
Phone: (515) 241-0982

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Social Worker - Clinical — Clinical	1041C0700X

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