Individual
RYAN ANDREW HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 SOUTH JACKSON ST., ROOM C1H17 EMERGENCY MEDICINE DEPARTMENT, LOUISVILLE, KY 40202
(502) 852-5689
Mailing address
112 CLUBHOUSE DR, NICHOLASVILLE, KY 40356-9138
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
R7027
KY
390200000X
Student in an Organized Health Care Education/Training Program
R7027
KY
Other
Enumeration date
04/02/2024
Last updated
07/09/2026
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