Individual
DR. RYAN CHRISTOPHER KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 MEDICAL PARK BLVD, STE 3800, BRISTOL, TN 37620-7346
(423) 990-2424
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46037
KY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
46037
KY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD52693
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2010
Last updated
08/04/2015
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