Individual
KEVIN F RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
165 TOR CT, PITTSFIELD, MA 01201-3001
(413) 447-2000
(413) 447-2176
Mailing address
725 NORTH ST, PITTSFIELD, MA 01201-4109
(413) 447-2650
(413) 447-2176
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
575
MA
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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