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Individual

KYLE G RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-6215
Mailing address
2068 HUNTINGTON TPKE, TRUMBULL, CT 06611-5000
(203) 556-8999

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
082242
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
5053
CT

Other

Enumeration date
05/14/2012
Last updated
03/17/2018
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