Individual
KEVIN BRYANT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 WESTERN AVE, CONWAY, AR 72034-4967
(501) 327-6665
(501) 730-0289
Mailing address
525 WESTERN AVE, CONWAY, AR 72034-4980
(501) 327-6665
(501) 730-0289
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R54422
AR
Other
Enumeration date
03/28/2006
Last updated
07/08/2007
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