Individual
KATHLEEN KINNEY BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-4757
(252) 744-5014
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2013-01872
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912293457
—
NC
05
—
NC2557
—
SC
Enumeration date
06/23/2011
Last updated
02/02/2024
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