| NPI | 1033415203 |
|---|---|
| Former Name | KENDYL BRYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-426) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AR PA-426) |
| 363AS0400X Physician Assistant, Surgical (Licence: AR PA-426) | |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2018-10-19 |