Ryan, Renee G

Ryan, Renee G is an individual health care provider with primary practice located at 515 Hospital Dr Suite 1, Shelbyville KY 40065-1619. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ryan, Renee G can be contacted via phone (502) 633-3525.

Contact Information

Primary practice address
515 Hospital Dr Suite 1 Shelbyville KY 40065-1619
Fax: (502) 633-3825
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA091 Kentucky

Profile Details

NPI number 1528057932
LBN Legal business name Ryan, Renee G
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Dec 1st, 2020 - about 6 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528057932 NPPES
Other 000000189841 ANTHEM

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