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Individual

RYAN DAVID BRANTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A

Contact information

Practice address
1600 CHARLES PLACE, MANHATTAN, KS 66502-2750
(785) 537-4200
(785) 537-4354
Mailing address
1600 CHARLES PLACE, MANHATTAN, KS 66502-2750
(785) 537-4200
(785) 537-4354

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02376
KS
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/28/2020
Last updated
11/16/2020
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