Provider Demographics
NPI:1417032194
Name:RATLIFF, BYRAM NEWTON II (MD)
Entity type:Individual
Prefix:
First Name:BYRAM
Middle Name:NEWTON
Last Name:RATLIFF
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-1348
Mailing Address - Country:US
Mailing Address - Phone:859-404-7686
Mailing Address - Fax:859-274-4459
Practice Address - Street 1:635 MAYSVILLE RD STE A
Practice Address - Street 2:
Practice Address - City:MT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-9767
Practice Address - Country:US
Practice Address - Phone:859-498-2323
Practice Address - Fax:859-498-7314
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY25074207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYK072080OtherMEDICARE
KY64250749Medicaid
KY30B7OtherBCBS
KYK072080OtherMEDICARE
KY4507Medicare ID - Type Unspecified