Leighty, Kirby Ryan

Leighty, Kirby Ryan is an individual health care provider with primary practice located at 7220 Mount Rushmore Rd , Rapid City SD 57702. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Leighty, Kirby Ryan can be contacted via phone (605) 341-1414.

Contact Information

Primary practice address
7220 Mount Rushmore Rd Rapid City SD 57702
Phone: (605) 341-1414
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0624 South Dakota

Profile Details

NPI number 1407865157
LBN Legal business name Leighty, Kirby Ryan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Oct 30th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407865157 NPPES
Other P00352296 MEDICARE RAILROAD PTAN
MEDICAID 6828030 MEDICARE RAILROAD PTAN

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