Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DDS103201 | CA |
NPI | 1073945077 |
---|---|
Provider Name | Dr. Ryan Kelsey May |
First Address | Monterey, CA 93940-4645 |
Second Address | Monterey, CA 93940-4645 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2013 |
Last Update Date | 04/12/2018 |