Individual
PAMELA D BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1653
(270) 825-5100
Mailing address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1653
(270) 825-5100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
KY-0392
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000322505
BCBS
KY
01
—
KY-0392
KENTUCKY LICENSE NUMBER
KY
Enumeration date
08/07/2007
Last updated
04/10/2008
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