Individual
MR. RYAN LEE WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
13190 SOUTH OUTER 40 RD, CHESTERFIELD, MO 63017-5917
(314) 434-3330
Mailing address
13190 SOUTH OUTER 40 RD, CHESTERFIELD, MO 63017-5917
(314) 434-3330
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2014043634
MO
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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