Individual
RYAN OLIVER KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
2047 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-2251
(702) 569-6449
(702) 384-0479
Mailing address
2047 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-2251
(702) 569-6449
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO03951
NV
224P00000X
Prosthetist
Primary
CPO03951
NV
Other
Enumeration date
08/29/2025
Last updated
09/10/2025
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