Healthcare Provider Details

I. General information

NPI: 1689183204
Provider Name (Legal Business Name): RYAN KEITH NAPIER APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2017
Last Update Date: 09/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 ROY CAMPBELL DRIVE
HAZARD KY
41701
US

IV. Provider business mailing address

138 DAVIS ST
HAZARD KY
41701-5437
US

V. Phone/Fax

Practice location:
  • Phone: 606-487-7383
  • Fax:
Mailing address:
  • Phone: 606-438-9101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3011671
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: