Ryan, Kara Renee

Ryan, Kara Renee is an individual health care provider with primary practice located at 695 Truman Pkwy Hyde Park Pediatrics, Hyde Park MA 02136-3552. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ryan, Kara Renee can be contacted via phone (617) 361-1470.

Contact Information

Primary practice address
695 Truman Pkwy Hyde Park Pediatrics Hyde Park MA 02136-3552
Phone: (617) 361-1470
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 220566 Massachusetts

Profile Details

NPI number 1689664815
LBN Legal business name Ryan, Kara Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jul 8th, 2007 - about 19 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 1689664815 NPPES
Massachusetts Other 469350 TUFTS HEALTH PLAN
Massachusetts MEDICAID 2063531 TUFTS HEALTH PLAN
Massachusetts Other J27445 TUFTS HEALTH PLAN

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