Broyles, Ryan Gabriel

Broyles, Ryan Gabriel is an individual health care provider with primary practice located at 105 S Main St , Franklin KY 42134-2113. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Broyles, Ryan Gabriel can be contacted via phone (270) 776-9905.

Contact Information

Primary practice address
105 S Main St Franklin KY 42134-2113
Phone: (270) 776-9905
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1921 Tennessee
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 168581 Kentucky
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 167959 Kentucky

Profile Details

NPI number 1689960312
LBN Legal business name Broyles, Ryan Gabriel
Credentials AU.D., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2011
Last updated Feb 4th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689960312 NPPES
Kentucky Other 167959 AUDIOLOGY LICENSE
Kentucky MEDICAID 7100403700 AUDIOLOGY LICENSE
Kentucky Other 1921 AUDIOLOGY LICENSE

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