| Doctor Name: | MRS. MARTHA LYN RYAN |
| NPI Number: | 1013240134 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 3006171 |
| Business Practice Address: | 300 S 8th St Suite 480 West Murray, KY - 420712400 |
| Business Phone Number: | 2707621515 |
| Business Fax Number: | 2707522852 |
| Mailing Address: | 300 S 8th St, Suite 480 West MURRAY |
| State: | KY |
| Postal Code: | 420712400 |
| Phone Number: | 2707621515 |
| Fax Number: | 2707522852 |
| NPI Enumeration Date: | 09/08/2009 |
| NPI Last Update Date: | 02/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3006171 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |