Dr. Kieran James Ryan, DO
Student in an Organized Health Care Education/Training Program in Austin, TX. Individual provider (NPI-1).
NPI number1467192591
StatusActive
Last updated in NPPESMar 29, 2022
Details
- NPI
- 1467192591
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kieran James Ryan
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2022
- Certification date
- Mar 29, 2022
- Last updated
- Mar 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
901 W Ben White BlvdAustin, TX 78704-6903
Phone 512-816-5648
Mailing address
901 W Ben White BlvdAustin, TX 78704-6903
Phone 512-816-5648
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