Individual
KIM A RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6908 E RENO AVE, MIDWEST CITY, OK 73110-2128
(405) 737-7000
(405) 737-7700
Mailing address
PO BOX 269064, OKLAHOMA CITY, OK 73126-9064
(405) 231-3857
(405) 272-7977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
898
OK
Other
Enumeration date
11/28/2007
Last updated
10/18/2020
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