Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ryan Kindred Cork

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1730796673

Ryan Kindred Cork is an Addiction (Substance Use Disorder) Counselor in Jacksonville, Florida. Licensed in Alaska and Florida. Registered with an NPI since 2020.

Licensed in
AK, FL
In the registry since
2020
Specialties on file
2

Practice location Address checks out

5776 Saint Augustine Rd
Jacksonville, FL 32207-8046
Phone: (904) 801-9560
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (FL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (AK)

Record details

NPI number1730796673
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 24, 2020
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025
Mailing address5776 Saint Augustine Rd, Jacksonville, FL 32207-8046

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