National Provider Identifier
Ryan Kimball
Ryan Kimball is listed in the NPPES registry with a primary specialty of Health & Wellness Coach in Ithaca, NY and a listed phone number of (716) 570-3581.
Profile Overview
- NPI
- 1205693462
- Provider Type
- Individual
- Primary Specialty
- Health & Wellness Coach
- Enumeration Date
- March 04, 2024
- Last Updated
- March 04, 2024
Practice Location
- 520 W Green St
- Ithaca, NY 14850-5252
Phone: (716) 570-3581
Specialties
- Health & Wellness Coach (171400000X)
Full Record
- NPI
- 1205693462
- Entity Type
- Individual
- Last Name
- Kimball
- First Name
- Ryan
- Mailing Street Address
- 520 W Green St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5252
- Mailing Country
- US
- Mailing Phone
- (716) 570-3581
- Practice Street Address
- 520 W Green St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5252
- Practice Country
- US
- Practice Phone
- (716) 570-3581
- Enumeration Date
- March 04, 2024
- Last Updated
- March 04, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- March 04, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Health & Wellness Coach (171400000X)