Individual
DR. KATHLEEN A. RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-6563
(352) 273-6250
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-6563
(352) 273-6250
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME62841
FL
2080P0208X
Pediatric Infectious Diseases Physician
Primary
ME62841
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371221400
—
FL
Enumeration date
07/06/2006
Last updated
12/23/2011
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