Individual
MRS. KELLY ELAINE BRYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2020006450
MO
363LF0000X
Family Nurse Practitioner
Primary
53-79079-021
KS
Other
Enumeration date
02/23/2020
Last updated
12/02/2025
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