Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2011027135 | MO |
N | 2080P0205X | Pediatric Endocrinologist | 05-38813 | KS |
Y | 2080P0205X | Pediatric Endocrinologist | 2011027135 | MO |
NPI | 1184945628 |
---|---|
Provider Name | Dr. Ryan Joseph Mcdonough |
First Address | Kansas City, MO 64108-4619 |
Second Address | Kansas City, MO 64108-4619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2010 |
Last Update Date | 17/01/2022 |