Individual
KRIS BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
403 W OAK ST, SUITE 200, EL DORADO, AR 71730-4586
(870) 875-5500
Mailing address
5745 JUNCTION CITY HWY, EL DORADO, AR 71730-8754
(318) 465-1795
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
A03266
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186301758
—
AR
Enumeration date
09/17/2009
Last updated
03/21/2016
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