Individual
KRISTY BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
315 E BROADWAY STE 103, LOUISVILLE, KY 40202-3700
(502) 629-5469
(502) 629-5464
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
3014326
KY
363LF0000X
Family Nurse Practitioner
Primary
3014326
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300036852
—
IN
01
—
3014326
STATE LICENSE
KY
05
—
7100656670
—
KY
Enumeration date
02/18/2020
Last updated
05/27/2022
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