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Individual

KELLY RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3374 E SAN CARLOS PL, CHANDLER, AZ 85249-5376
(480) 703-8013
(480) 219-9596
Mailing address
1160 E HAWKEN WAY, CHANDLER, AZ 85286-1137

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
AL12867H
AZ

Other

Enumeration date
12/17/2025
Last updated
12/17/2025
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