KATHLEEN RYAN

FORT POLK, LA
NPI1245372622
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: TX  254355)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: TX  254355)
Enumeration Date2007-02-13
Last Update Date2007-07-08
Business Address
-- KATHLEEN RYAN APN
6907 ELLIS CT APT C 6907 C
FORT POLK, LA 71459-3123
Phone number: 337-281-1040
Mailing Address
-- KATHLEEN RYAN APN
6907 ELLIS CT APT C 6907 C
FORT POLK, LA 71459-3123
Phone number: 337-281-1040
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