Individual provider · Type 1 NPI

Kellie Maria Ryan

Student in an Organized Health Care Education/Training Program · Lowell, MA

NPI number 1972665362 Active

Practice location

148 Warren St, Ei So Bay Mental Health
Lowell, MA 01852

Call (978) 452-1736 Map

Fax (978) 452-6625

Mailing address

233 Pleasant St
Tewksbury, MA 01876

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972665362

Kellie Maria Ryan's National Provider Identifier is 1972665362, issued on Dec 14, 2006. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lowell, MA. The record was last updated on Jul 8, 2007.