Ryan, Kevin J

Ryan, Kevin J is an sole proprietor health care provider with primary practice located at 5127 Troon Ln , Durham NC 27712-1829. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Ryan, Kevin J can be contacted via phone (919) 384-0323.

Contact Information

Primary practice address
5127 Troon Ln Durham NC 27712-1829
Phone: (919) 384-0323
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 703 North Carolina

Profile Details

NPI number 1033252465
LBN Legal business name Ryan, Kevin J
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
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 1033252465 NPPES
North Carolina Other 74105 BLUE CROSS BLUE SHIELD
North Carolina Other 19645 BLUE CROSS BLUE SHIELD

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