# DR. KELLY W RYDER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1083866651
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 22127 | MS | Yes |
| 208M00000X | Hospitalist Physician | 2030 | TN | — |
| 208M00000X | Hospitalist Physician | 22127 | MS | — |

## Other

- **Enumeration date:** 10/15/2008
- **Last updated:** 07/11/2019