Individual
KIP WAYNE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
500 BURLINGTON RD STE 240, JACKSON, OH 45640-9360
(740) 286-5075
(740) 395-8411
Mailing address
PO BOX 188, CHILLICOTHE, OH 45601-0188
(740) 773-4366
(740) 773-4750
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0029552
OH
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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