Individual
RYAN M. FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
6265 ROCK CHALK DR, SUITE 1500, LAWRENCE, KS 66049
(785) 843-9125
(785) 843-6973
Mailing address
6265 ROCK CHALK DR, SUITE 1500, LAWRENCE, KS 66049
(785) 505-2988
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01334
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200653440C
—
KS
Enumeration date
09/18/2009
Last updated
11/23/2020
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