Individual
KRISTINE ELAINE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
701 E MAIN ST, JENKS, OK 74037-4316
(918) 298-2264
(918) 298-0923
Mailing address
701 E MAIN ST, JENKS, OK 74037-4316
(918) 298-2264
(918) 298-0923
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5529
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200548260
—
OK
Enumeration date
03/28/2013
Last updated
07/21/2022
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