| Ryan Gabriel Broyles, AUD, CCC-A | |
|
105 S Main St, Franklin, KY 42134-2113 | |
| (270) 776-9905 | |
| Not Available |
| Full Name | Ryan Gabriel Broyles |
|---|---|
| Gender | Male |
| Speciality | Audiologist |
| Location | 105 S Main St, Franklin, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689960312 | NPI | - | NPPES |
| 167959 | Other | KY | AUDIOLOGY LICENSE |
| 7100403700 | Medicaid | KY | |
| 1921 | Other | TN | AUDIOLOGY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 1921 (Tennessee) | Secondary |
| 237700000X | Hearing Instrument Specialist | 168581 (Kentucky) | Secondary |
| 231H00000X | Audiologist | 167959 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Gabriel Broyles, AUD, CCC-A 105 S Main St, Franklin, KY 42134-2113 Ph: (270) 776-9905 | Ryan Gabriel Broyles, AUD, CCC-A 105 S Main St, Franklin, KY 42134-2113 Ph: (270) 776-9905 |
Commonwealth Health Corporation, Inc. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Brookhaven Rd, Franklin, KY 42134 Phone: 270-253-3147 Fax: 270-253-3156 |