Individual provider · Type 1 NPI

Kelly Ryan

Surgical Physician Assistant · Edison, NJ

NPI number 1194806539 Active

Practice location

65 James St
Edison, NJ 08820-3947

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X25MP00333400 (NJ)

Surgical Physician Assistant: Definition to come...

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About NPI 1194806539

Kelly Ryan's National Provider Identifier is 1194806539, issued on Oct 18, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Edison, NJ. The record was last updated on Dec 13, 2023.