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Individual

DR. KRISTEN RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7023 OLD JAHNKE RD, RICHMOND, VA 23225-4126
(804) 320-1353
(804) 320-6636
Mailing address
7023 OLD JAHNKE RD, RICHMOND, VA 23225-4126
(804) 320-1353
(804) 320-6636

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101227717
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006720218
VA
01
011353
CIGNA ID
VA
01
1201873
UNITED HEALTHCARE ID
VA
01
127722
SOUTHERN HEALTH ID
VA
01
1896314
FIRST HEALTH ID
VA
01
217191
ANTHEM ID
VA
01
287117
MAMSI ID
VA
01
7717146
AETNA/US HEALTHCARE ID
VA
Enumeration date
10/14/2005
Last updated
02/23/2012
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