Individual
MAUREEN A RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8442 DIXIE HWY, LOUISVILLE, KY 40258-1140
(502) 638-4299
Mailing address
8442 DIXIE HWY, LOUISVILLE, KY 40258-1140
(502) 638-4299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32751
KY
2084P0800X
Psychiatry Physician
32751
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64327513
—
KY
Enumeration date
07/24/2006
Last updated
10/23/2012
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