Ryan, Kyle Jonathan

Ryan, Kyle Jonathan is an individual health care provider with primary practice located at 3030 Childrens Way , San Diego CA 92123-4232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Ryan, Kyle Jonathan can be contacted via phone (858) 966-8974.

Contact Information

Primary practice address
3030 Childrens Way San Diego CA 92123-4232
Phone: (858) 966-8974
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X A170177 California

Profile Details

NPI number 1447645742
LBN Legal business name Ryan, Kyle Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2015
Last updated Sep 22nd, 2020 - about 6 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 1447645742 NPPES
Wisconsin MEDICAID 1447645742

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