Individual
KELLY ANNE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-5365
Mailing address
3181 SW SAM JACKSON PARK RD # SJH-2, PORTLAND, OR 97239-3011
(215) 593-0474
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD153977
OR
207LP3000X
Pediatric Anesthesiology Physician
25MA10427000
NJ
207LP3000X
Pediatric Anesthesiology Physician
Primary
C1-0012887
DE
207LP3000X
Pediatric Anesthesiology Physician
MD465564
PA
Other
Enumeration date
05/11/2007
Last updated
11/19/2018
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