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NPI Code Detail

MEDICARE: RYAN KING

MEDICARE: RYAN KING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171W00000XContractor

General Provider Information

NPI Number : 1417491580
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN KING
Provider Business Mailing Address
First Line : 688 E SCHREYER PL
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-2229
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 688 E SCHREYER PL
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-2229
Country : US
Telephone Number : 614-623-2596
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2016
Last Update Date : 12/08/2016

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Directions to “ RYAN KING ” Practice Location

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