Provider Demographics
NPI:1851159107
Name:KURYLO, RYAN KEITH (BA, EMT-P/FTO)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:KEITH
Last Name:KURYLO
Suffix:
Gender:M
Credentials:BA, EMT-P/FTO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6210 LEHMAN DR
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-4678
Mailing Address - Country:US
Mailing Address - Phone:810-990-1328
Mailing Address - Fax:
Practice Address - Street 1:6210 LEHMAN DR
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-4678
Practice Address - Country:US
Practice Address - Phone:810-990-1328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1629259146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic