MR. KEVIN J RYAN (NPI# 1033252465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033252465 |
| Entity Type | Individual |
| Full Name | MR. KEVIN J RYAN |
| Credential | L.P.C. |
| Practice Address |
5127 Troon Ln Durham NC 27712-1829 |
| Practice Telephone | 9193840323 |
| Mailing Telephone | 9193840323 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
703 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 74105 | 01 |
| NC | MAGELAN | 19645 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019479 | Kevin Thomas Ryan | Massage Therapist | 2220 Nw Front Ave Apt 316, Portland, OR 97209-1998 | 2020-10-08 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1811272263 | Kevin Michael Ryan | Optometrist | 5201 W War Memorial Dr, Peoria, IL 61615-9222 | 2011-10-17 |
| 1326341645 | Kevin Patrick Ryan | Physical Therapist | 1111 W North 12th St, Shelbyville, IL 62565-9554 | 2010-12-08 |
| 1033398284 | Kevin Thomas Ryan | Marriage & Family Therapist | 119 E 2nd St Ste 216, The Dalles, OR 97058-1796 | 2007-10-24 |
| 1790809663 | Kevin A Ryan | Dentist | 5312 Carolina Pl, Springfield, VA 22151-4401 | 2007-03-18 |
| 1346309275 | Kevin S Ryan | Physical Therapist | 30 Great Rd Ste 105, Acton, MA 01720 | 2006-12-06 |
| 1184796062 | Kevin Peter Ryan | Chiropractor | 7151 El Cajon Blvd Ste J, San Diego, CA 92115-1819 | 2006-11-15 |
| 1326066614 | Kevin Shawn Ryan | Dentist | 510 Simpson Howell Rd, Elizabeth, PA 15037-2818 | 2006-07-17 |
| 1790717759 | Kevin Padric Ryan | Pharmacy | 4727 Denver Avenue South, C/o Bartell Drug Company, Seattle, WA 98134-2316 | 2006-07-07 |
| Street Address |
5127 TROON LN |
| City | DURHAM |
| State | NC |
| Zip Code | 27712-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942414354 | Janice Geller | Counselor | 5127 Troon Ln, Durham, NC 27712-1829 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245485044 | Sharon Louise Cooney | Registered Nurse | 4112 Old Oxford Rd, Durham, NC 27712 | 2008-11-20 |
| 1801000880 | James M. Coghill Jr. | Internal Medicine | Unc Chapel Hill, Division of Hematology Oncology, Cb# 7305, 3009 Old Clinic Building, Chapel Hill, NC 27712 | 2007-05-09 |
| 1679682454 | Heather Renee Ellington | Nurse Practitioner | 5325 Old Oxford Road, Durham, NC 27712 | 2006-08-29 |
| 1962418319 | Barrie James Hurwitz | Psychiatry & Neurology | Duke University Trent Drive, 122 Baker House, Durham, NC 27712 | 2006-07-31 |
| 1255883963 | Occupational Health Centers of North Carolina, PC | Clinic/Center | 5325 Old Oxford Road, Durham, NC 27712 | 2016-10-28 |
| 1881970218 | Michele J Mcdonald | Physical Therapy Assistant | 2059 Torredge Rd, Durham, NC 27712 | 2011-10-31 |
| 1720439938 | Christine Williams | Pharmacist | 110 Heather Ridge Ct, Durham, NC 27712-1067 | 2016-06-29 |
| 1114198124 | Tracy Johansen | Speech-Language Pathologist | 1507 Bramble Dr, Durham, NC 27712-1209 | 2008-03-18 |
| 1134412380 | Beautiful Beginnings: A Speech and Language Program, LLC | Speech-Language Pathologist | 1507 Bramble Dr, Durham, NC 27712-1209 | 2011-05-20 |
| 1760951545 | Rita Helena Glynn | Counselor | 404 Club House St, Durham, NC 27712-1404 | 2018-11-21 |
| Find all providers in zip 27712 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652710 | Myracle Clay Clay-bennett | Counselor | 2933 S Miami Blvd, Durham, NC 27703-8025 | 2020-09-02 |
| 1376160218 | Compass Family Therapy, Pllc | Counselor | 3326 Guess Rd Ste 207, Durham, NC 27705-2160 | 2020-06-26 |
| 1144857665 | Jennifer Saucier Simmons | Counselor | 212 Maiden Ln, Durham, CT 06422-2017 | 2020-03-25 |
| 1902457328 | Natalie Haskins Parmenter | Counselor | 5825 Sandstone Dr, Durham, NC 27713-1925 | 2019-09-26 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1205314390 | Ashley Danielle Gilmore | Counselor | 48 Intuition Cir, Durham, NC 27705-2881 | 2018-08-01 |
| 1477060606 | Benjamin Christian Willcott | Counselor | 2612 N Roxboro St, Durham, NC 27704-4350 | 2018-01-09 |
| 1851842694 | Bull City Psychotherapy, Pllc | Counselor | 1816 Front St Ste 250, Durham, NC 27705-2598 | 2016-10-17 |
| 1730632506 | Selena Waite | Counselor | 2309 Nebo St, Durham, NC 27707-4231 | 2016-07-28 |
| Find all providers in DURHAM | ||||
Please comment or provide details below to improve the information on MR. KEVIN J RYAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.