Individual
KEVIN MICHAEL BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
200 ALFRED ST, MICHIGAN CITY, IN 46360-7303
(219) 872-6200
Mailing address
26 KINCRAIG DR, VALPARAISO, IN 46385-9290
(219) 405-9302
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71015653A
IN
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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