Provider Demographics
NPI:1770600306
Name:RYAN, PHILIP (DO)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:
Last Name:RYAN
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Gender:M
Credentials:DO
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Mailing Address - Street 1:2700 CLAY EDWARDS DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3251
Mailing Address - Country:US
Mailing Address - Phone:816-346-7400
Mailing Address - Fax:816-346-7104
Practice Address - Street 1:2700 CLAY EDWARDS DR
Practice Address - Street 2:SUITE 120
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3251
Practice Address - Country:US
Practice Address - Phone:816-346-7400
Practice Address - Fax:816-346-7104
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2017-01-19
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Provider Licenses
StateLicense IDTaxonomies
MO1200142083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine