Individual
KATHLEEN F RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
219 N BROAD ST, 6TH FL, PHILADELPHIA, PA 19107-1519
(215) 762-5188
(215) 399-5896
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1321
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD050740L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001482030
—
PA
Enumeration date
05/26/2006
Last updated
10/04/2012
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