KELLIE MARIE RYAN - WILSON

SAN ANGELO, TX
NPI1255393872
Former NameKELLIE RYAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: TX  AP111628)
Additional Taxonomies363LW0102X Nurse Practitioner, Women's Health
(Licence: TX  AP111628)
Enumeration Date2006-04-06
Last Update Date2020-12-18
Business Address
KELLIE MARIE RYAN - WILSON CNM
220 E. HARRIS
SAN ANGELO, TX 76903
Phone number: 325-658-1511
Mailing Address
KELLIE MARIE RYAN - WILSON CNM
PO BOX 22000
SAN ANGELO, TX 76902-7200
Phone number: 325-658-1511