Individual
KATHLEEN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
6907 ELLIS CT APT C, 6907 C, FORT POLK, LA 71459-3123
(337) 281-1040
Mailing address
6907 ELLIS CT APT C, 6907 C, FORT POLK, LA 71459-3123
(337) 281-1040
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
254355
TX
363LF0000X
Family Nurse Practitioner
254355
TX
Other
Enumeration date
02/13/2007
Last updated
09/11/2025
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