Individual
MS. KELLY ANN RYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1931 INDUSTRIAL PARK RD, CONWAY, SC 29526-5482
(843) 915-8802
Mailing address
1431 BRIGHTON AVE, MYRTLE BEACH, SC 29588-5488
(843) 213-8127
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
229500
SC
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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