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Individual

KELLY RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
640 S. STATE STREET, BAYHEALTH WOUND CARE CENTER, 2ND FLOOR, DOVER, DE 19901
(302) 744-7500
Mailing address
640 S. STATE ST., MAIL CODE 3055, DOVER, DE 19901-3530
(302) 480-1688
(302) 480-9807

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LG-0012296
DE
363LF0000X
Family Nurse Practitioner
LG-0012296
DE

Other

Enumeration date
03/24/2023
Last updated
03/27/2024
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