Individual
DR. KERRY BRYANT LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MINISTRY
Contact information
Practice address
1700 W INTERNATIONAL SPEEDWAY BLVD STE 404, DAYTONA BEACH, FL 32114-1361
(356) 257-4311
Mailing address
1700 W INTERNATIONAL SPEEDWAY BLVD STE 404, DAYTONA BEACH, FL 32114-1361
(386) 281-1798
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95444626G80154
—
CA
Enumeration date
07/09/2021
Last updated
12/26/2025
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