Provider Demographics
NPI:1215243928
Name:KEES, RYANNE E (CNM)
Entity type:Individual
Prefix:
First Name:RYANNE
Middle Name:E
Last Name:KEES
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21509 SPRINGFIELD CENTER RD
Mailing Address - Street 2:
Mailing Address - City:HARLAN
Mailing Address - State:IN
Mailing Address - Zip Code:46743-7588
Mailing Address - Country:US
Mailing Address - Phone:260-610-6503
Mailing Address - Fax:
Practice Address - Street 1:21509 SPRINGFIELD CENTER RD
Practice Address - Street 2:
Practice Address - City:HARLAN
Practice Address - State:IN
Practice Address - Zip Code:46743-7588
Practice Address - Country:US
Practice Address - Phone:260-610-6503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-19
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28232096A163W00000X
IN09000364A363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN09000364AOtherAMCB
IN28232096AOtherNURSING LICENSE