Individual
KEVIN BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
341 N SAINT JOSEPH AVE, KANKAKEE, IL 60901-2741
(815) 928-6093
Mailing address
341 N SAINT JOSEPH AVE, KANKAKEE, IL 60901-2741
(815) 928-6093
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.014756
IL
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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