Individual
RYAN CHRIS MOELLENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
90 VERMONT AVE STE 300, OAK RIDGE, TN 37830-6478
(865) 481-2541
(865) 483-8151
Mailing address
90 VERMONT AVE STE 300, OAK RIDGE, TN 37830-6478
(865) 481-2541
(865) 483-8151
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-05615
NC
363A00000X
Physician Assistant
Primary
2928
TN
363AS0400X
Surgical Physician Assistant
2928
TN
Other
Enumeration date
03/11/2015
Last updated
07/03/2019
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