Individual
DR. COLLEEN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MADISON STATE HOSPITAL, 711 GREEN RD., MADISON, IN 47250
(812) 265-7336
(812) 265-7487
Mailing address
1385 S 3RD ST, LOUISVILLE, KY 40208-2305
(502) 558-3192
(502) 409-8369
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
01035114A
IN
2084P0800X
Psychiatry Physician
Primary
37977
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64073943
—
KY
Enumeration date
07/24/2006
Last updated
03/12/2021
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