Dr. Ryan Edward Modlinski
Family Doctor - Sports Medicine
4123 Dutchmans Ln Suite 401
Louisville
, Kentucky 40207-4707
Dr. Ryan Edward Modlinski
Family Doctor - Sports Medicine
4123 Dutchmans Ln Suite 401
Louisville
, Kentucky 40207-4707
(502) 272-5119
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Ryan Edward Modlinski
- Po Box 776351
- Chicago, IL
- Zip : 60677-6351
- Fax : (502) 272-5119
- Phone : (502) 588-9490
Second Address
- Dr. Ryan Edward Modlinski
- 4123 Dutchmans Ln Suite 401
- Louisville, KY
- Zip : 40207-4707
- Fax : (502) 394-6340
- Phone : (502) 394-6341
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | TP313 | KY |
National Provider Identifier
| NPI | 1114953817 |
|---|---|
| Provider Name | Dr. Ryan Edward Modlinski |
| First Address | Chicago, IL 60677-6351 |
| Second Address | Louisville, KY 40207-4707 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2006 |
| Last Update Date | 12/07/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.