SearchKentucky2255A2300X

Ryan Vicknair

NPI 1447646187 · on the registry since 2015 · sole proprietor

Practice

Address
8036 Post Oak Pl
Louisville, KY 40222
Phone
(502) 852-7122

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-04-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky