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Individual

AMANDA M RYDEN

Active
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Individual

AMANDA M RYDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036143926
IL
207P00000X
Emergency Medicine Physician
37787
KY
207P00000X
Emergency Medicine Physician
42040
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200445280
IN
05
64062599
KY
Enumeration date
08/17/2006
Last updated
07/21/2022
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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