Provider Demographics
NPI:1952403479
Name:RYAN, PATRICK B (BS PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:B
Last Name:RYAN
Suffix:
Gender:M
Credentials:BS PHARMD
Other - Prefix:
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Mailing Address - Street 1:9810 ROSEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-3230
Mailing Address - Country:US
Mailing Address - Phone:913-341-5378
Mailing Address - Fax:913-341-6431
Practice Address - Street 1:7900 LEES SUMMIT RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64139-1236
Practice Address - Country:US
Practice Address - Phone:816-404-7100
Practice Address - Fax:816-404-7142
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS1-103141835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy