Organization
RYON MEDICAL & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN HARSH DNP (CEO/CMO)
(719) 384-0303
Entity
Organization
Contact information
Practice address
318 LACEY AVE, LA JUNTA, CO 81050-2039
(719) 384-0303
(719) 384-1033
Mailing address
PO BOX 497, LA JUNTA, CO 81050-0497
(719) 384-0303
(719) 384-1033
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
991295
CO
101YM0800X
Mental Health Counselor
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
115077
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29854075
—
CO
Enumeration date
06/05/2012
Last updated
10/28/2024
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