MATTHEW RYAN BAUCOM

EDGEWOOD, KY
NPI1871053090
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: KY  61969)
Enumeration Date2019-03-22
Last Update Date2026-08-25
Business Address
MATTHEW RYAN BAUCOM MD
20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017-5401
Phone number: 859-578-5880
Mailing Address
MATTHEW RYAN BAUCOM MD
PO BOX 635283
CINCINNATI, OH 45263-5283
Phone number: 859-344-5555