Bryan, Pamela D

Bryan, Pamela D is an individual health care provider with primary practice located at 900 Hospital Dr , Madisonville KY 42431-1653. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bryan, Pamela D can be contacted via phone (270) 825-5100.

Contact Information

Primary practice address
900 Hospital Dr Madisonville KY 42431-1653
Phone: (270) 825-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X KY-0392 Kentucky

Profile Details

NPI number 1710178561
LBN Legal business name Bryan, Pamela D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2007
Last updated Apr 10th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710178561 NPPES
Kentucky Other 000000322505 BCBS
Kentucky Other KY-0392 BCBS

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