Individual
DR. LARRY MADISON RYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 HUSTON DR STE 1, SHEPHERDSVILLE, KY 40165-7250
(502) 955-7311
(502) 955-9694
Mailing address
PO BOX 766351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43434
KY
208000000X
Pediatrics Physician
43434
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000668794
ANTHEM - NMA
KY
01
—
000000681099
ANTHEM - NICC
KY
01
—
000052153U
HUMANA - NMA
KY
01
—
116658
SIHO - NMA
KY
01
—
120281
SIHO - NICC
KY
01
—
50029638
PASSPORT & PASSPORT ADVTG
KY
01
—
5725912
CIGNA - NMA
KY
05
—
7100127660
—
KY
01
—
9132559
AETNA - NCMA
KY
01
—
P00861081
RAILROAD MEDICARE - KY
KY
Enumeration date
02/23/2007
Last updated
08/30/2024
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