Provider Demographics
NPI:1609957042
Name:TURPEN, RYAN MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:MICHAEL
Last Name:TURPEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:230 W MAIN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40422-1871
Mailing Address - Country:US
Mailing Address - Phone:859-239-2700
Mailing Address - Fax:859-236-7656
Practice Address - Street 1:230 W MAIN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-1871
Practice Address - Country:US
Practice Address - Phone:859-239-2700
Practice Address - Fax:859-236-7656
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLTRN10124208800000X
KY44738208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100196440Medicaid