Individual
MR. KEVIN MICHAEL RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-4929
Mailing address
250 HOSPITAL DR, DOWLING 1 SOUTH, LEXINGTON, NC 27292-6792
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2014-02557
NC
Other
Enumeration date
03/24/2010
Last updated
05/06/2016
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