| Doctor Name: | RYAN CONNOR |
| NPI Number: | 1225468481 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 000 |
| Business Practice Address: | 576 Fort Loudoun Medical Center Dr Suite 100 Lenoir City, TN - 377725676 |
| Business Phone Number: | 8659888667 |
| Business Fax Number: | 8659888837 |
| Mailing Address: | Po Box 32569, KNOXVILLE |
| State: | TN |
| Postal Code: | 379302569 |
| Phone Number: | 8656940062 |
| Fax Number: | 8656949707 |
| NPI Enumeration Date: | 11/25/2013 |
| NPI Last Update Date: | 05/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |