Individual
DR. RYAN WILGUS KISSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25785
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11963
GEORGIA TRAINING PERMIT NUMBER
GA
Enumeration date
06/11/2020
Last updated
07/31/2024
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