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Individual

KYLE C BRYANS

Active
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Individual

KYLE C BRYANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18330
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00693932A
MEDICAID
GA
01
300062967
RAIL ROAD MEDICARE
SC
01
57-0853635
BLUE CROSS
SC
05
T23196
SC
Enumeration date
01/12/2007
Last updated
10/17/2007
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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