Individual
RYAN J NETTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3651 COLLEGE BLVD, #100A, LEAWOOD, KS 66211-1904
(913) 319-7546
(913) 319-7691
Mailing address
3651 COLLEGE BLVD, #100A, LEAWOOD, KS 66211-1904
(913) 319-7546
(913) 319-7691
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
05-25395
KS
363A00000X
Physician Assistant
2004027792
MO
363A00000X
Physician Assistant
Primary
PA-2940
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61037729
—
CO
Enumeration date
07/13/2005
Last updated
06/06/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us