Individual
KERRY A RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2525 LOS PADILLAS RD SW, PAJARITO ES, ALBUQUERQUE, NM 87105-7250
(505) 877-0108
Mailing address
2300 MENAUL BLVD NE, ALBUQUERQUE, NM 87107-1851
(505) 272-3000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
836
NM
Other
Enumeration date
09/11/2009
Last updated
04/10/2020
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