Bryant, Jane Kittrell

Bryant, Jane Kittrell is an sole proprietor health care provider with primary practice located at 187 Gallaher Rd , Kingston TN 37763-4721. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Bryant, Jane Kittrell can be contacted via phone (865) 376-4620.

Contact Information

Primary practice address
187 Gallaher Rd Kingston TN 37763-4721
Phone: (865) 376-4620
Fax: (865) 376-1759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 077 Tennessee

Profile Details

NPI number 1336171560
LBN Legal business name Bryant, Jane Kittrell
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Jul 8th, 2007 - 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 1336171560 NPPES
Tennessee Other 0045343 BLUECROSS BLUESHIELD
Tennessee MEDICAID 5440740 BLUECROSS BLUESHIELD

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