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RYAN MATTHEW KAVALIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1000 W NIFONG BLVD, BUILDING 7, SUITE 300, COLUMBIA, MO 65203-5615
(573) 884-1130
(573) 884-4515
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2021031981
MO
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2021031981
MO

Other

Enumeration date
06/17/2016
Last updated
04/04/2023
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