Individual
RYAN KNOWLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Mailing address
820 RANCHO LN, LAS VEGAS, NV 89106-3827
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
SL2401
NV
390200000X
Student in an Organized Health Care Education/Training Program
Primary
SL2401
NV
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/29/2025
Last updated
03/11/2026
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