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Individual

DR. RYANN ACQUINO PANGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
613 23RD ST STE 130, ASHLAND, KY 41101-2876
(606) 329-9335
(606) 324-6383
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
42430
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2949582
OH
05
3810015249
WV
05
7100083160
KY
Enumeration date
05/22/2007
Last updated
04/06/2017
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