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Individual

RYAN STUART FERRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3901 RAINBOW BLVD, G600, KANSAS CITY, KS 66160-8500
(913) 588-9600
(913) 588-9770
Mailing address
5501NW 62ND TERRACE, SUITE 201, KANSAS CITY, MO 64151-2408
(816) 584-8884
(913) 945-9612

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
04-30349
KS
207RC0000X
Cardiovascular Disease Physician
2006012202
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106470
BCBS KS
KS
05
200435540A
KS
05
200435540B
KS
05
207340506
MO
01
38331017
BCBS KC
MO
Enumeration date
08/30/2006
Last updated
09/15/2015
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