# KEITH A RYAN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083854574
- **Authorized official:** MR. KEITH A RYAN MD (REGISTERED AGENT)
- **Authorized official phone:** (307) 235-4020

## Contact information

- **Practice address:** 1233 E 2ND ST, CASPER, WY 82601-2926
- **Practice address phone:** (307) 577-7201
- **Mailing address:** 2510 E 15TH ST, SUITE 2, CASPER, WY 82609-4111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 7118A | WY | Yes |

## Other

- **Enumeration date:** 02/24/2009
- **Last updated:** 05/09/2012