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Contact Information

KANIKA Y RYAN
22 GLEN ED PROFESSIONAL PARK STE B
GLEN CARBON, IL62034-3300
 Phone: 618-659-2030
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for KANIKA Y RYAN · (Female)

NPI Number 1043934433
Status Active
Credentials
Entity Individual
Enumeration date 09/28/2022
Last updated 10/31/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 019033258
  • IL License # 021.003283
Hospital affiliation(s) Not Available
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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