Organization
RYAN SURGICAL ASSISTANCE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R RYAN RNFA (PRESIDENT)
(859) 559-2392
Entity
Organization
Contact information
Practice address
160 BLACK WATER LN, LEXINGTON, KY 40511-8861
(859) 559-2392
(859) 971-0155
Mailing address
160 BLACK WATER LN, LEXINGTON, KY 40511-8861
(859) 559-2392
(859) 971-0155
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
1050326
KY
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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