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MS. KELA S BRYANT NP-C

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1588104160

Individual Registrant:
MS. KELA S BRYANT NP-C
Gender: F
Sole Proprietor

Location and contact information for practice:
1810 STADIUM DR SUITE 210 PHENIX CITY, AL 36867-3177 US
Tel: 334-291-8044  Fax: 877-395-0710

Contact information for business:
2827 WARM SPRINGS RD STE 3B COLUMBUS, GA 31904-5246 US
Tel: 706-324-4177  Fax: 706-322-9637

Registration Information:
NPI: 1588104160
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1-159881

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BOARD OF NURSING LICENSE1-159881AL01




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