DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. RYAN ANDREW KEDZIE DO

MEDICARE: DR. RYAN ANDREW KEDZIE DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician2022026605MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457814154
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYAN ANDREW KEDZIE DO
Provider Business Mailing Address
First Line : 1500 N OAKLAND AVE
Second Line :
City : BOLIVAR
State : MO
Zip : 65613-3011
Country : US
Telephone Number : 417-326-6000
Fax Number :
Provider Business Practice Location Address
First Line : 1500 N OAKLAND AVE
Second Line :
City : BOLIVAR
State : MO
Zip : 65613-3011
Country : US
Telephone Number : 417-326-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2019
Last Update Date : 01/08/2026

Similar Medicare Providers

1780857284 — JOANNA DUANE TWOMBLY D.O.
Practice Location Address:
1500 N OAKLAND AVE
BOLIVAR, MO
65613-3011
Practice Phone: 417-326-6000
Practice Fax:
1548040942 — DR. ERIK JOSEF GLASSL CRNA
Practice Location Address:
1500 N OAKLAND AVE
BOLIVAR, MO
65613-3011
Practice Phone: 417-326-6000
Practice Fax:
1992705305 — BRYAN E FLUECKIGER MD
Practice Location Address:
1500 N OAKLAND AVE
BOLIVAR, MO
65613-3011
Practice Phone: 417-326-6000
Practice Fax: 417-328-6338
1295727667 — MR. MORGAN WAYNE SIMPSON ATC, LAT
Practice Location Address:
1500 N OAKLAND AVE
BOLIVAR, MO
65613-3011
Practice Phone: 417-777-7763
Practice Fax:
1730173964 — DR. RICHARD G. REBER M.D.
Practice Location Address:
1500 N OAKLAND AVE , DEPT. OF RADIOLOGY
BOLIVAR, MO
65613-3011
Practice Phone: 417-328-6446
Practice Fax: 417-328-6369
1770568842 — PARKVIEW ANESTHESIA
Practice Location Address:
1500 N OAKLAND AVE
BOLIVAR, MO
65613-3011
Practice Phone: 660-826-5960
Practice Fax: 660-826-4852

Directions to “ DR. RYAN ANDREW KEDZIE DO” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.