Individual
KERRI BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
001012262
NC
363AM0700X
Medical Physician Assistant
10563
AZ
363AM0700X
Medical Physician Assistant
5333
OK
363AM0700X
Medical Physician Assistant
Primary
PA15324
TX
363AM0700X
Medical Physician Assistant
PA20240118
NM
363AM0700X
Medical Physician Assistant
PA60436
CA
363AM0700X
Medical Physician Assistant
PA70012874
WA
363AM0700X
Medical Physician Assistant
TL1550
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1111PA
—
SC
Enumeration date
03/29/2010
Last updated
07/28/2025
Update your record
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