Individual
KENNETH C RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1370 13TH AVE S STE 215, JACKSONVILLE BEACH, FL 32250-3206
(904) 249-1041
(904) 249-9764
Mailing address
PO BOX 41113, JACKSONVILLE, FL 32203-1113
(904) 376-4400
(904) 391-5595
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9367359
FL
Other
Enumeration date
09/17/2013
Last updated
02/12/2019
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