Individual
DR. RYAN ANDREW KEDZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 326-6000
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 326-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2022026605
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00002296608
—
NV
Enumeration date
04/09/2019
Last updated
01/08/2026
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