# KAILEN B RYAN PMHNP-BC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1982411856
- **Authorized official:** KAILEN B RYAN (RMHNP)
- **Authorized official phone:** (413) 475-2535

## Contact information

- **Practice address:** 243 MAIN ST, BUZZARDS BAY, MA 02532-3229
- **Practice address phone:** (508) 743-5542
- **Mailing address:** 27 MOUNT PLEASANT ST, PLYMOUTH, MA 02360-2904
- **Mailing address phone:** (413) 475-2535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/14/2024
- **Last updated:** 12/14/2024