Provider Demographics
NPI:1487690673
Name:MUCHOW, RYAN D (MD)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:D
Last Name:MUCHOW
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:740 S LIMESTONE SUITE K401 KENTUCKY CLINIC
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0284
Mailing Address - Country:US
Mailing Address - Phone:859-323-5533
Mailing Address - Fax:859-323-2412
Practice Address - Street 1:110 CONN TER
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508-3206
Practice Address - Country:US
Practice Address - Phone:859-268-5622
Practice Address - Fax:859-268-5636
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2017-10-10
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Provider Licenses
StateLicense IDTaxonomies
KY45326207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery