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Individual

ALYSON ROCHELLE RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
68 CAVALIER BLVD STE 1400, FLORENCE, KY 41042-1645
(513) 475-8730
(513) 475-8033
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-0001
(513) 585-5504
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35128026
OH
2084N0400X
Neurology Physician
Primary
50954
KY
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
35128026
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0164468
OH
05
300004002
IN
05
7100406610
KY
01
81034
TRAINING PERMIT
AZ
Enumeration date
09/12/2007
Last updated
07/17/2024
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