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Individual
RYAN GABRIEL BROYLES
Active
Individual
RYAN GABRIEL BROYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D., CCC-A
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
167959
KY
231H00000X
Audiologist
1921
TN
237700000X
Hearing Instrument Specialist
168581
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167959
AUDIOLOGY LICENSE
KY
01
—
1921
AUDIOLOGY LICENSE
TN
05
—
7100403700
—
KY
Enumeration date
06/21/2011
Last updated
02/04/2020
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