Lyman, Kenneth Ray
Lyman, Kenneth Ray is an individual health care provider with primary practice located at 1050 W. 10Th Street Suite 300, Rolla MO 65401. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Lyman, Kenneth Ray can be contacted via phone (573) 364-9000.Contact Information
Primary practice address
1050 W. 10Th Street Suite 300
Rolla MO 65401
Phone: (573) 364-9000
Fax: (573) 426-3552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3491-033 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2010033190 | Missouri |
Profile Details
| NPI number | 1841447174 |
|---|---|
| LBN Legal business name | Lyman, Kenneth Ray |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2008 |
| Last updated | Mar 27th, 2012 - about 14 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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