Ryan, Keith S

Ryan, Keith S is an individual health care provider with primary practice located at 1968 Peachtree Road Nw , Atlanta GA 30309-1281. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant is his primary health care specialty. Ryan, Keith S can be contacted via phone (404) 351-1745.

Contact Information

Primary practice address
1968 Peachtree Road Nw Atlanta GA 30309-1281
Phone: (404) 351-1745
Fax: (404) 351-7121
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 000866 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 000866 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000866 Georgia

Profile Details

NPI number 1649309840
LBN Legal business name Ryan, Keith S
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Oct 5th, 2010 - about 16 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 1649309840 NPPES
Georgia MEDICAID 199990101B

Popular Providers