Individual
MRS. KATE GWENDOLYN RYALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
560 AVENUE K SE, WINTER HAVEN, FL 33880-4203
(863) 299-3376
(863) 299-2830
Mailing address
560 AVENUE K SE, WINTER HAVEN, FL 33880-4203
(863) 299-3376
(863) 299-2830
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101883
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29081600
—
FL
Enumeration date
02/06/2006
Last updated
09/18/2008
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