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Individual

RYAN JOEL HOGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202
(502) 852-5851
(502) 852-3762
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 852-5851

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
51649
KY
207L00000X
Anesthesiology Physician
TP711
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300016428
IN
01
51649
LICENSE
KY
01
K260570
MEDICARE
KY
Enumeration date
03/24/2014
Last updated
05/18/2022
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