Individual
KATLYN N BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4000
Mailing address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2250
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WV2250
MEDICAL LICENSE
WV
Enumeration date
12/08/2018
Last updated
06/01/2022
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