NPI 1003629460

Keeley Ferrell Ryan, PAC

Practitioner Physician Assistant Saint Louis, MO

Practice location

Address: 1201 S Grand Blvd, Saint Louis, MO 63104-1016
Phone: (314) 257-1320
Mailing address: 36 Countryside Ln, Saint Louis, MO 63131-3310

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1003629460
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jan 2025
Record last updated: 29 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.