Individual
MR. CHARLES KEVIN BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1330 N RACE ST, GLASGOW, KY 42141-3465
(270) 796-4698
(270) 629-5858
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 796-4698
(270) 782-3274
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007239
KY
225100000X
Physical Therapist
5677
MS
225100000X
Physical Therapist
8503
TN
Other
Enumeration date
06/25/2007
Last updated
03/17/2018
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