Baucom, Matthew Ryan
Baucom, Matthew Ryan is an individual health care provider with primary practice located at 20 Medical Village Dr , Edgewood KY 41017-5401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Baucom, Matthew Ryan can be contacted via phone (859) 578-5880.Contact Information
Primary practice address
20 Medical Village Dr
Edgewood KY 41017-5401
Phone: (859) 578-5880
Fax: (859) 578-5881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 61969 | Kentucky |
Profile Details
| NPI number | 1871053090 |
|---|---|
| LBN Legal business name | Baucom, Matthew Ryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2019 |
| Last updated | Aug 25th, 2026 - about 2 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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