Individual
KENDRA JOHNSON BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N MAIN ST, SUMMERVILLE, SC 29483-6439
(843) 832-0041
Mailing address
106 BALD CYPRESS CT, SUMMERVILLE, SC 29485-7868
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
259317
SC
163WC0200X
Critical Care Medicine Registered Nurse
259317
SC
163WP0200X
Pediatric Registered Nurse
259317
SC
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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