Individual
MS. TAMARA S BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 634-3040
Mailing address
7102 E GILBERT ST, WICHITA, KS 67207-2206
(316) 260-6222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1102822
KS
Other
Enumeration date
04/25/2008
Last updated
03/02/2009
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