# RYAN GABRIEL BROYLES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1689960312
- **Gender:** Man
- **Credential:** AU.D., CCC-A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 167959 | KY | Yes |
| 231H00000X | Audiologist | 1921 | TN | — |
| 237700000X | Hearing Instrument Specialist | 168581 | KY | — |

## Other

- **Enumeration date:** 06/21/2011
- **Last updated:** 02/04/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 167959 | AUDIOLOGY LICENSE | KY |
| 01 | — | 1921 | AUDIOLOGY LICENSE | TN |
| 05 | — | 7100403700 | — | KY |