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Individual

CHRIS N BRYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
2130 NICHOLASVILLE RD, SUITE 1, LEXINGTON, KY 40503-2520
(859) 278-7313
(859) 260-1007
Mailing address
2130 NICHOLASVILLE RD, SUITE 1, LEXINGTON, KY 40503-2520
(859) 278-7313
(859) 260-1007

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
KY0245
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5146650001
MEDICARE DME
KY
05
80000011
KY
Enumeration date
07/07/2006
Last updated
03/12/2009
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