Individual
DR. KENNETH RODOLFO BRYAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2501 CAPEHART RD, OFFUTT A F B, NE 68113-1043
(402) 294-3228
(402) 294-0711
Mailing address
1304 PATRICIA DR, PAPILLION, NE 68046-4760
(402) 592-5784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021404A
IN
Other
Enumeration date
09/06/2005
Last updated
07/08/2007
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