Individual
DR. RYAN JOHN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-C, PMHS
Contact information
Practice address
257 CHURCH ST NE, CONCORD, NC 28025-4763
(980) 263-9791
(408) 413-0405
Mailing address
1230 ROSECRANS AVE STE 300, MANHATTAN BEACH, CA 90266-2494
(310) 844-6619
(408) 413-0405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5022420
NC
363LF0000X
Family Nurse Practitioner
95008337
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5022420
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95008337
CA
Other
Enumeration date
01/22/2018
Last updated
03/19/2026
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