Individual
RYAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 STATE ST, STE A, FORT SCOTT, KS 66701-2031
(417) 321-2845
Mailing address
903 BURKE ST, FORT SCOTT, KS 66701-2411
(417) 321-2845
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
150273
KS
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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