Individual
MS. KATHLEEN A BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
246 GRANGER RD, SUITE 1, BERLIN, VT 05602-9516
(802) 371-5950
(802) 371-5951
Mailing address
PO BOX 547, ATT: CVMC FINANCE DEPT, BARRE, VT 05641-0547
(802) 371-5950
(802) 371-5951
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
216464
MA
363LF0000X
Family Nurse Practitioner
Primary
101.0022960
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0394190
—
MA
05
—
1015078
—
VT
Enumeration date
02/10/2006
Last updated
07/28/2014
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