Individual
KRISTINE ANN RYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
734 ELKCAM BLVD, DELTONA, FL 32725-2626
(386) 532-8200
(386) 774-6862
Mailing address
734 ELKCAM BLVD, DELTONA, FL 32725-2626
(386) 532-8200
(386) 774-6862
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA9101505
FL
363AM0700X
Medical Physician Assistant
Primary
PA9101505
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00331050
RAILROAD MEDICARE - FLAGL
FL
Enumeration date
05/18/2006
Last updated
04/29/2025
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