Kenneth Lance Bryant in Saint Marys - Surgery
Kenneth Lance Bryant - NPI 1821007949
Kenneth Lance Bryant is a Surgery in Saint Marys, Ohio. Kenneth Lance Bryant practices all healthcare services and medical treatments related to Surgery. The NPI Number for Kenneth Lance Bryant is 1821007949. The last update date is 2021-04-19.
Kenneth Lance Bryant's current location address is 1140 S Knoxville Ave Ste C, Saint Marys, Ohio. You can contact this provider via phone number 4193949595 and fax number 4193949532. The mailing address for Kenneth Lance Bryant is 1140 S Knoxville Ave Ste C, Saint Marys, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Lance Bryant |
|---|---|
| Address | 1140 S Knoxville Ave Ste C, Saint Marys, Ohio |
| Phone Number | 4193949595 |
| Fax Number | 4193949532 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1821007949 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2021-04-19 |
Provider Mailing Address Detail
| Address | 1140 S Knoxville Ave Ste C |
|---|---|
| City | Saint Marys |
| State | Ohio (OH) |
| Post Code | 458852609 |
| Phone Number | 4193949595 |
| Fax Number | 4193949532 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 34-005959 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1184652539 | OH | GROUP NPI - JTDM FAMILY PRACTI | |
| 989097 | OH | -- | |
| 34-1689161 | OH | TAX ID | |
| H039441 | OH | MEDICARE |
Post Comment/ Review Below
What is the Kenneth Lance Bryant's unique identification number?
The Kenneth Lance Bryant has been assigned the NPI (National Provider Identifier) Number 1821007949 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Kenneth Lance Bryant is located?
The Kenneth Lance Bryant is situated at the following address: 1140 S Knoxville Ave Ste C, Saint Marys, OH, 458852609.
What is Kenneth Lance Bryant's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kenneth Lance Bryant is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
On what date was the 1821007949 assigned to Kenneth Lance Bryant?
The Kenneth Lance Bryant was issued its 1821007949 on 2006-08-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kenneth Lance Bryant's details last updated?
The information pertaining to the Kenneth Lance Bryant, including its address, specialty, and other details, was most recently updated on 2021-04-19.