Provider Demographics
NPI:1548722879
Name:MORSE, RYAN TAYLOR (MD)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:TAYLOR
Last Name:MORSE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4001 RAINBOW BLVD # MS 4033
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8504
Mailing Address - Country:US
Mailing Address - Phone:913-588-3685
Mailing Address - Fax:913-588-8095
Practice Address - Street 1:4001 RAINBOW BLVD # MS 4033
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8504
Practice Address - Country:US
Practice Address - Phone:913-588-3685
Practice Address - Fax:913-588-8095
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20240317372085R0001X
KS04-496282085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology