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Individual

KATHRYN A BRYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 ST MARYS EPWORTH XING, STE. A500, NEWBURGH, IN 47630-9698
(812) 485-4437
(812) 485-6890
Mailing address
PO BOX 138, EVANSVILLE, IN 47701-0138
(812) 471-1591
(812) 471-6650

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01068284A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200098250
IN
05
7100123780
KY
Enumeration date
02/13/2006
Last updated
04/02/2014
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