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MR. TIMOTHY JAMES BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
165 SYCAMORE TRACE RD, ELIZABETHTOWN, KY 42701-9545
(270) 300-2024
Mailing address
165 SYCAMORE TRACE RD, ELIZABETHTOWN, KY 42701-9545
(270) 300-2024

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1105144
KY

Other

Enumeration date
11/02/2005
Last updated
03/07/2011
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