RYAN KINGSOLVER

PROVO, UT
NPI1164283529
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  1971664)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2024-01-22
Last Update Date2025-09-02
Business Address
RYAN KINGSOLVER PA-C
2230 N UNIVERSITY PKWY STE 9B
PROVO, UT 84604-6717
Phone number: 801-375-3175
Mailing Address
RYAN KINGSOLVER PA-C
1055 N 500 W ATTN CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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