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Individual
RYAN T LAHEY
Active
Individual
RYAN T LAHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
50869
KS
2255A2300X
Athletic Trainer
—
NULL
363A00000X
Physician Assistant
Primary
1502245
KS
Other
Enumeration date
06/02/2019
Last updated
10/01/2019
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