Individual
MRS. KELLYANN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
307 BOATNER RD, EGLIN AFB, FL 32542-1391
(850) 883-8837
Mailing address
307 BOATNER RD, EGLIN AFB, FL 32542-1391
(850) 883-8837
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2672
ME
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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