Ryals, Kate Gwendolyn

Ryals, Kate Gwendolyn is an individual health care provider with primary practice located at 560 Avenue K Se , Winter Haven FL 33880-4203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ryals, Kate Gwendolyn can be contacted via phone (863) 299-3376.

Contact Information

Primary practice address
560 Avenue K Se Winter Haven FL 33880-4203
Phone: (863) 299-3376
Fax: (863) 299-2830
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9101883 Florida

Profile Details

NPI number 1942272802
LBN Legal business name Ryals, Kate Gwendolyn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Sep 18th, 2008 - about 18 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 1942272802 NPPES
Florida MEDICAID 29081600

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