Individual
RYAN KIEL SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
6900 ALDEN DR, FE WARREN AFB, WY 82005-2945
(307) 773-5690
Mailing address
6900 ALDEN DR, FE WARREN AFB, WY 82005-2945
(307) 773-5690
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
07/23/2025
Last updated
02/03/2026
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