KENISHA LEANDRA BRYANT

SAINT LOUIS, MO
NPI1811295850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: MO  2002018066)
Enumeration Date2011-02-28
Last Update Date2018-01-24
Business Address
Mrs. KENISHA LEANDRA BRYANT WHNP
4901 FOREST PARK AVE STE 341 STE 341
SAINT LOUIS, MO 63108-1453
Phone number: 314-454-7882
Mailing Address
Mrs. KENISHA LEANDRA BRYANT WHNP
4901 FOREST PARK AVE
SAINT LOUIS, MO 63108-1402
Phone number: 314-454-7882