Individual
NICHOLAS AARON RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4130 DUTCHMANS LN, SUITE 400, LOUISVILLE, KY 40207-4713
(502) 897-0697
(502) 897-0658
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
48328
KY
207V00000X
Obstetrics & Gynecology Physician
BP10039753
TX
207V00000X
Obstetrics & Gynecology Physician
TP440
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000938709
ANTHEM
KY
05
—
201339030
—
IN
01
—
204955
SIHO
KY
01
—
50094065
PASSPORT
KY
05
—
7100363060
—
KY
Enumeration date
11/16/2012
Last updated
09/27/2022
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