Individual
MR. KENNETH RAY LYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1050 W. 10TH STREET, SUITE 300, ROLLA, MO 65401
(573) 364-9000
(573) 426-3552
Mailing address
1050 W. 10TH STREET, SUITE 300, ROLLA, MO 65401
(573) 364-9000
(573) 426-3552
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2010033190
MO
363LF0000X
Family Nurse Practitioner
3491-033
WI
Other
Enumeration date
08/18/2008
Last updated
03/27/2012
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