Individual
RYAN CARTER CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-5533
Mailing address
2333 ALUMNI PARK PLZ, SUITE 200, LEXINGTON, KY 40517-4012
(859) 218-5677
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
39388
KY
207XX0801X
Orthopaedic Trauma Physician
Primary
39388
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64107022
—
KY
Enumeration date
09/15/2006
Last updated
02/22/2008
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