O'Bryant, Larry Kenneth
O'Bryant, Larry Kenneth is an sole proprietor health care provider with primary practice located at 407 14Th Ave Se , Puyallup WA 98372-3770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. O'Bryant, Larry Kenneth can be contacted via phone (253) 697-5647.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD38704 | Washington |
Profile Details
| NPI number | 1578614749 |
|---|---|
| LBN Legal business name | O'Bryant, Larry Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2007 |
| Last updated | May 21st, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578614749 | NPPES |
| Washington | MEDICAID | 8286821 |
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