Individual
RYAN DEANGELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 S LIMESTONE STE D135, LEXINGTON, KY 40536-1501
(859) 323-5533
(859) 257-3634
Mailing address
58 BEECHWOOD DR, ROBBINSVILLE, NJ 08691-3003
(609) 647-6375
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
59769
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2018
Last updated
07/05/2024
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