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General NPI Number Information
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NPI Number | 1922293927
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Entity Type | Individual
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Provider Name | ALYSON ROCHELLE RYAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 68 CAVALIER BLVD STE 1400
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City | FLORENCE
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State | KY
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Zip | 41042-1645
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Country | US
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Telephone | 513-475-8730
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Fax | 513-475-8033
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Provider Business Mailing Address
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Address Line | PO BOX 636256 CENTRAL CREDENTIALING
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City | CINCINNATI
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State | OH
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Zip | 45263-0001
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Country | US
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Telephone | 513-585-5504
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Fax | 513-585-5511
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 35128026
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | 35128026
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 50954
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License Number State | KY
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