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Individual

DR. KRISTINA KRUER BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
210 E GRAY ST, STE 802, LOUISVILLE, KY 40202-3904
(502) 588-2348
(502) 588-2334
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-2348
(502) 588-2334

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
31275
KY
2080P0208X
Pediatric Infectious Diseases Physician
Primary
31275
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200272740
IN
05
64011620
KY
Enumeration date
12/02/2005
Last updated
10/13/2020
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