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NPI Code Detail

MEDICARE: DR. KARILYN RYDER AUD

MEDICARE:  DR. KARILYN  RYDER  AUD
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
1231H00000XAudiologistA.02091OH

General Provider Information

NPI Number : 1578086088
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KARILYN RYDER AUD
Provider Business Mailing Address
First Line : 3659 GREEN RD STE 106
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-5715
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5267 PEARL RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44129-1550
Country : US
Telephone Number : 216-485-5767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2017
Last Update Date : 03/17/2018

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Directions to “ DR. KARILYN RYDER AUD” Practice Location

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