Nettles, Ryan J

Nettles, Ryan J is an individual health care provider with primary practice located at 3651 College Blvd #100A, Leawood KS 66211-1904. 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. Nettles, Ryan J can be contacted via phone (913) 319-7546.

Contact Information

Primary practice address
3651 College Blvd #100A Leawood KS 66211-1904
Phone: (913) 319-7546
Fax: (913) 319-7691
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 05-25395 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2004027792 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-2940 Colorado

Profile Details

NPI number 1003814849
LBN Legal business name Nettles, Ryan J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jun 6th, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003814849 NPPES
Colorado MEDICAID 61037729

Popular Providers