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Individual
CORY M RYAN
Active
Individual
CORY M RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
38039
KY
207Q00000X
Family Medicine Physician
Primary
38039
KY
207R00000X
Internal Medicine Physician
38039
KY
208M00000X
Hospitalist Physician
38039
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000545017
ANTHEM BC & BS
KY
01
—
0340
MEDICARE GROUP
KY
01
—
1467443879
NPI
KY
05
—
64059199
—
KY
Enumeration date
11/03/2005
Last updated
11/22/2021
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