Individual
HEATHER R BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F09171015
Contact information
Practice address
810 S MAIN ST, ELKTON, KY 42220-8812
(270) 265-5600
(270) 265-5605
Mailing address
810 S MAIN ST, ELKTON, KY 42220-8812
(270) 265-5600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
25882
TN
363LF0000X
Family Nurse Practitioner
Primary
3011775
KY
Other
Enumeration date
10/11/2017
Last updated
06/01/2021
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