Provider Demographics
NPI:1376980318
Name:SMITH, RYAN JEFFREY (MD)
Entity Type:Individual
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First Name:RYAN
Middle Name:JEFFREY
Last Name:SMITH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:120 N EAGLE CREEK DR
Mailing Address - Street 2:STE 211
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1827
Mailing Address - Country:US
Mailing Address - Phone:859-263-3030
Mailing Address - Fax:859-263-2491
Practice Address - Street 1:120 N EAGLE CREEK DR
Practice Address - Street 2:STE 211
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1827
Practice Address - Country:US
Practice Address - Phone:859-323-5867
Practice Address - Fax:859-257-6718
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-31
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
KY50488207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology