Provider Demographics
NPI:1730329913
Name:PILKEY, RYAN E (NP)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:E
Last Name:PILKEY
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11876 OLIO RD STE 700
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-9778
Mailing Address - Country:US
Mailing Address - Phone:317-348-3020
Mailing Address - Fax:317-863-1237
Practice Address - Street 1:11876 OLIO RD STE 700
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037
Practice Address - Country:US
Practice Address - Phone:317-348-3020
Practice Address - Fax:317-863-1237
Is Sole Proprietor?:No
Enumeration Date:2009-02-27
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71002870363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner