Individual
MRS. KATHY ANN BRYTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
16503 S THREE WELLS CT, SAHUARITA, AZ 85629-8920
(520) 906-2900
Mailing address
PO BOX 387, SAHUARITA, AZ 85629-0387
(520) 906-2900
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0002
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054594
—
AZ
Enumeration date
03/18/2007
Last updated
07/09/2007
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