Individual
KEVIN J RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5333 MCAULEY DR, SUITE 5112, YPSILANTI, MI 48197
(844) 237-3627
Mailing address
5966 COTTONWOOD DR, YPSILANTI, MI 48197-8203
(734) 358-5108
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007832
MI
363AS0400X
Surgical Physician Assistant
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—
Other
Enumeration date
08/01/2016
Last updated
05/22/2020
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