Individual
RYAN RANDALL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 W SECOND ST STE 101, LEXINGTON, KY 40508-1275
(859) 687-6595
(859) 403-3015
Mailing address
535 W SECOND ST STE 101, LEXINGTON, KY 40508-1275
(859) 687-6595
(859) 403-3015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48688
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48688
LICENSE
KY
Enumeration date
04/14/2011
Last updated
04/13/2020
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