| Kevin James Ryan, CRNA | |
|
150 E Arapahoe St, Hot Springs County Memorial Hospital, Thermopolis, WY 82443-2402 | |
| (307) 864-5023 | |
| (307) 864-5039 |
| Full Name | Kevin James Ryan |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 150 E Arapahoe St, Thermopolis, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225146327 | NPI | - | NPPES |
| 314292 | Other | WY | BLUE CROSS/ BLUE SHIELD |
| 115234300 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 16571.0656 (Wyoming) | Primary |
| Entity Name | Washakie Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255368593 PECOS PAC ID: 2466369301 Enrollment ID: O20040312000646 |
| Entity Name | Hot Springs County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861550642 PECOS PAC ID: 9234020439 Enrollment ID: O20040324001069 |
| Entity Name | Washakie Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1255368593 PECOS PAC ID: 2466369301 Enrollment ID: O20061104000309 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin James Ryan, CRNA 290 W River Rd, Worland, WY 82401-9747 Ph: (307) 347-3204 | Kevin James Ryan, CRNA 150 E Arapahoe St, Hot Springs County Memorial Hospital, Thermopolis, WY 82443-2402 Ph: (307) 864-5023 |
Mr. Christopher H Paris, MS Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 150 E Arapahoe St, Thermopolis, WY 82443 Phone: 307-864-3121 Fax: 307-864-5039 |