Individual
KATHRYN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
205 W RD MIZE RD, SUITE 304, BLUE SPRINGS, MO 64014-2515
(816) 228-4770
(816) 228-1156
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
74749
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100373770A
—
KS
01
—
12149450
MULTIPLAN
KS
01
—
160675
BCBS
KS
01
—
205986
HPK
KS
01
—
9487
PHS
KS
Enumeration date
08/11/2006
Last updated
07/19/2013
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