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Individual
RYAN HOLCOMB
Active
Individual
RYAN HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1879
KY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OT018642
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100277270
—
KY
Enumeration date
02/18/2014
Last updated
10/25/2018
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