Individual
KEVIN JAMES RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
150 E ARAPAHOE ST, HOT SPRINGS COUNTY MEMORIAL HOSPITAL, THERMOPOLIS, WY 82443-2402
(307) 864-5023
(307) 864-5039
Mailing address
290 W RIVER RD, WORLAND, WY 82401-9747
(307) 347-3204
(307) 864-5039
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
16571.0656
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115234300
—
WY
01
—
314292
BLUE CROSS/ BLUE SHIELD
WY
Enumeration date
08/28/2006
Last updated
03/18/2010
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