Ryan, Kevin Michael

Ryan, Kevin Michael is an individual health care provider with primary practice located at 35 Pearl St Ste 200 , Brockton MA 02301-2866. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Ryan, Kevin Michael can be contacted via phone (508) 588-8034.

Contact Information

Primary practice address
35 Pearl St Ste 200 Brockton MA 02301-2866
Phone: (508) 588-8034
Fax: (508) 897-0475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA7481 Massachusetts

Profile Details

NPI number 1548769524
LBN Legal business name Ryan, Kevin Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2018
Last updated Apr 18th, 2023 - about 3 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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