Individual
DR. RYAN SMITH HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 WEST TIPTON STREET, SEYMOUR, IN 47274
(812) 523-5862
(812) 523-4753
Mailing address
411 WEST TIPTON STREET, SEYMOUR, IN 47274
(812) 523-5862
(812) 523-4753
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01082324A
IN
Other
Enumeration date
05/09/2016
Last updated
06/26/2019
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