Individual
RYAN KINGSOLVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2230 N UNIVERSITY PKWY STE 9B, PROVO, UT 84604-6717
(801) 375-3175
(801) 375-2818
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1971664
ID
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/22/2024
Last updated
01/06/2026
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