Provider Demographics
NPI:1437241759
Name:KATHRYN A RYAN DO AND ASSOCIATES
Entity Type:Organization
Organization Name:KATHRYN A RYAN DO AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:724-352-8840
Mailing Address - Street 1:101 ALWINE RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SAXONBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16056-8604
Mailing Address - Country:US
Mailing Address - Phone:724-352-8840
Mailing Address - Fax:724-352-8840
Practice Address - Street 1:101 ALWINE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:SAXONBURG
Practice Address - State:PA
Practice Address - Zip Code:16056-8604
Practice Address - Country:US
Practice Address - Phone:724-352-8840
Practice Address - Fax:724-352-8840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
068073Medicare ID - Type Unspecified