Individual
MRS. CAROL GAUT RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1360 E STROOP RD, KETTERING, OH 45429-4926
(937) 294-5566
(937) 296-0570
Mailing address
1360 E STROOP RD, KETTERING, OH 45429-4926
(937) 294-5566
(937) 296-0570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35038029
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0292599
—
OH
Enumeration date
08/13/2006
Last updated
09/09/2010
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