Individual
RENEE G RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
515 HOSPITAL DR, SUITE 1, SHELBYVILLE, KY 40065-1619
(502) 633-3525
(502) 633-3825
Mailing address
515 HOSPITAL DR, SUITE 1, SHELBYVILLE, KY 40065-1619
(502) 633-3525
(502) 633-3825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA091
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000189841
ANTHEM
—
Enumeration date
10/18/2005
Last updated
12/01/2020
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