Kiesa Nichol Bryant, PA

NPI #1265614390 in Davidsonville, Maryland

Provider Information

NPI Number: 1265614390
Entity Type: Individual
Name: Kiesa Nichol Bryant, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 30, 2007
Last Updated: Nov 30, 2007

Practice Location

Address: 2772 RUTLAND RD
City: Davidsonville
State: Maryland
ZIP Code: 21035-1228
Phone: (410) 721-0311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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