Individual
DR. RYAN KELLY GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1008 MINNEQUA AVE, PUEBLO, CO 81004-3733
(719) 776-8040
(719) 776-8050
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
CDRH.0059610
CO
208M00000X
Hospitalist Physician
Primary
CDRH.0059610
CO
Other
Enumeration date
06/29/2015
Last updated
01/29/2024
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