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Individual

ELLEN BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
04-51568
KS
208000000X
Pediatrics Physician
2022029283
MO
208000000X
Pediatrics Physician
Primary
7492620
WI
2080A0000X
Pediatric Adolescent Medicine Physician
04-51568
KS
2080A0000X
Pediatric Adolescent Medicine Physician
2022029283
MO

Other

Enumeration date
04/03/2019
Last updated
03/23/2026
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