Individual
KENNETH RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2600 YALE BLVD SE, ALBUQUERQUE, NM 87106-4383
(505) 994-7999
Mailing address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-3120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN88038
NM
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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