Individual
BRYANT ALAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3436 KENILWORTH DR, INDIANAPOLIS, IN 46228-2703
(317) 757-9731
(317) 291-0640
Mailing address
3436 KENILWORTH DR, INDIANAPOLIS, IN 46228-2703
(317) 757-9731
(317) 291-0640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01061402A
IN
207RN0300X
Nephrology Physician
01061402A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200545640
—
IN
Enumeration date
07/06/2006
Last updated
08/12/2019
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