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Individual
RYAN WILLIAM SMITH
Active
Individual
RYAN WILLIAM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
45990
KY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
45990
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2010
Last updated
10/05/2016
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