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Contact Information

KELLY RYDER, MD
3330 MASONIC DR
ALEXANDRIA, LA71301-3841
 Phone: 318-320-4422
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KELLY RYDER · (Female)

NPI # 1033251400
Status Active
Credentials MD
Entity Individual
Enumeration date 02/13/2007
Last updated 02/07/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • LA License # MD.202250
  • LA Medicaid 1343412
  • LA Other 1K0937 MEDICARE
Hospital affiliation(s)
  • CHRISTUS ST FRANCES CABRINI HOSPITAL - (Acute Care)
    3330 MASONIC DRIVE
    ALEXANDRIA, LA 71301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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