Individual
KELLY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 OGDEN AVE, AURORA, IL 60504-7206
(630) 264-8840
Mailing address
112 HUDSON CT, NAPERVILLE, IL 60565-6346
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209.016552
IL
Other
Enumeration date
11/05/2017
Last updated
11/18/2021
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