Individual
RYAN KEPHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
30 S CAYUGA RD, WILLIAMSVILLE, NY 14221-6728
(716) 632-1088
(716) 632-7842
Mailing address
30 S CAYUGA RD, WILLIAMSVILLE, NY 14221-6728
(716) 632-1088
(716) 632-7842
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
630641
NY
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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