Keith S Ryan is a Physician Assistant in Sunrise, Florida. Keith S Ryan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Keith S Ryan is 1649309840. The last update date is 2010-10-05.
Keith S Ryan's current location address is 1301 Concord Terrace, Sunrise, Florida. You can contact this provider via phone number 8002433839 and fax number 9548392569. The mailing address for Keith S Ryan is 1301 Concord Terrace, Sunrise, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith S Ryan |
|---|---|
| Address | 1301 Concord Terrace, Sunrise, Florida |
| Phone Number | 8002433839 |
| Fax Number | 9548392569 |
| Sole Proprietor | N |
| Credentials | AA |
NPI Number Detail
| NPI Number | 1649309840 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2010-10-05 |
Provider Mailing Address Detail
| Address | 1301 Concord Terrace |
|---|---|
| City | Sunrise |
| State | Florida (FL) |
| Post Code | 333232843 |
| Phone Number | 8002433839 |
| Fax Number | 9548392569 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 866 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 199990101B | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Keith S Ryan by the Centers for Medicare & Medicaid Services?
The Keith S Ryan has been assigned the NPI (National Provider Identifier) 1649309840 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Keith S Ryan located?
The Keith S Ryan is located at 1301 Concord Terrace, Sunrise, FL 333232843.
What is the Keith S Ryan's specialty and taxonomy code?
The Keith S Ryan's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did Keith S Ryan receive its 1649309840 assignment from the Centers for Medicare & Medicaid Services?
The Keith S Ryan was assigned its 1649309840 on 2007-03-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Keith S Ryan last refreshed?
The information related to the Keith S Ryan, including its address, specialty, and other relevant details, was last updated on 2010-10-05.
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