Individual
VICKIE LYNN BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IECE
Contact information
Practice address
231 STINSON DR, BARDSTOWN, KY 40004-2437
(502) 507-6464
Mailing address
231 STINSON DR, BARDSTOWN, KY 40004-2437
(502) 507-6464
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
KY
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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