Individual
KEVIN BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 N MAIN ST, ANDERSON, SC 29621-3868
(864) 224-0711
Mailing address
1901 N MAIN ST, ANDERSON, SC 29621-3868
(864) 224-0711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7368
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669591558
—
SC
Enumeration date
03/24/2018
Last updated
03/24/2018
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