Kelly Ryon, is a
Speech-language Pathologist based in West Peoria, Illinois. Kelly Ryon is licensed to practice in Illinois (license number 146013315) and her current practice location is
2302 W Melrose Pl, West Peoria, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 212-9995.
NPI number for Kelly Ryon is 1013462969 and her current mailing address is 2302 W Melrose Pl, West Peoria, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013462969.
Healthcare Provider's Profile
Full Name | Kelly Ryon |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 2302 W Melrose Pl, West Peoria, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013462969
- Provider Enumeration Date: 08/22/2016
- Last Update Date: 04/05/2018
Medical Identifiers
Medical identifiers for Kelly Ryon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013462969 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 146013315 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Ryon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Ryon, 2302 W Melrose Pl, West Peoria, IL 61604-5440 Ph: (815) 212-9995 | Kelly Ryon, 2302 W Melrose Pl, West Peoria, IL 61604-5440 Ph: (815) 212-9995 |
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