Individual
CARL KEITH BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8151 MIDLAND TRL W, RUPERT, WV 25984-6033
(304) 392-6426
Mailing address
8151 MIDLAND TRL W, RUPERT, WV 25984-6033
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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