Individual
KADESHA KIMBERLY BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
560 W 168TH ST, NEW YORK, NY 10032-3917
(212) 305-4318
Mailing address
560 W 168TH ST, NEW YORK, NY 10032-3917
(212) 305-4318
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
201289
CT
163WC0200X
Critical Care Medicine Registered Nurse
26NR22621200
NJ
163WC0200X
Critical Care Medicine Registered Nurse
Primary
861399-01
NY
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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