Individual
RYAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1106 N 155TH ST, SUITE B, BASEHOR, KS 66007-7100
(913) 662-7071
Mailing address
1033 TENNESSEE ST, UNIT 4, LAWRENCE, KS 66044-2901
(402) 990-1207
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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