Individual
CODY ROBERT UNRUH RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 455-0681
(816) 455-5294
Mailing address
9411 N OAK TRFY STE LL1, KANSAS CITY, MO 64155-2262
(816) 691-1655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2016015181
MO
207Q00000X
Family Medicine Physician
A132944
CA
208M00000X
Hospitalist Physician
Primary
2016015181
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417390956
—
MO
01
—
2016015181
LICENSE
MO
Enumeration date
04/15/2013
Last updated
05/30/2023
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