BRYANT THOMAS OVERSTREET

PRAIRIE VILLAGE, KS
NPI1306451513
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: KS  3-111378)
Enumeration Date2020-09-14
Last Update Date2020-09-14
Business Address
BRYANT THOMAS OVERSTREET
4016 W 95TH ST
PRAIRIE VILLAGE, KS 66207-2702
Phone number: 913-307-3057
Mailing Address
BRYANT THOMAS OVERSTREET
610 NE 66TH TER
GLADSTONE, MO 64118-3440
Phone number: