Individual
MR. KEENE WILSON BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
11140 MONTGOMERY RD, CINCINNATI, OH 45249-2309
(513) 221-5500
(513) 221-1962
Mailing address
11140 MONTGOMERY RD, CINCINNATI, OH 45249-2309
(513) 221-5500
(513) 221-1962
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003394
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070176
—
OH
Enumeration date
10/19/2011
Last updated
06/01/2022
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