Williams, Ryan Dale

Williams, Ryan Dale is an individual health care provider with primary practice located at 9702 Stonestreet Rd Ste 100 , Louisville KY 40272-6809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Williams, Ryan Dale can be contacted via phone (502) 588-0610.

Contact Information

Primary practice address
9702 Stonestreet Rd Ste 100 Louisville KY 40272-6809
Phone: (502) 588-0610
Fax: (502) 588-0611
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R4544 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 54090 Kentucky

Profile Details

NPI number 1265865133
LBN Legal business name Williams, Ryan Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2013
Last updated Oct 29th, 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 1265865133 NPPES
Oregon Other 138516 OREGON EMERGENCY MEDICAL SERVICES PROVIDER LICENSE NUMBER

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