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Individual

RYAN LAVAR SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-2000
Mailing address
1776 WOODSTEAD CT STE 208, THE WOODLANDS, TX 77380-1480
(281) 724-3050

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
06258
KY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
34.016518
OH
208100000X
Physical Medicine & Rehabilitation Physician
OS021696
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0050634
OH
05
7101143820
KY
01
P02830892
RAILROAD MEDICARE KY
KY
Enumeration date
04/27/2018
Last updated
05/11/2026
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