Individual
DR. KATHRYN ELIZABETH RYAN-PETERKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., D.D.S., M.S.
Contact information
Practice address
9250 BAYMEADOWS RD, SUITE 300, JACKSONVILLE, FL 32256-1883
(904) 731-2120
(904) 731-9235
Mailing address
14177 MAHOGANY AVE., JACKSONVILLE, FL 32258
(414) 581-4440
(904) 731-9235
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN19375
FL
Other
Enumeration date
06/17/2011
Last updated
07/19/2013
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