Bryant, Rodney K
Bryant, Rodney K is an sole proprietor health care provider with primary practice located at 347 S Laura St , Wichita KS 67211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Bryant, Rodney K can be contacted via phone (316) 686-7117.Contact Information
Primary practice address
347 S Laura St
Wichita KS 67211
Phone: (316) 686-7117
Fax: (316) 686-2679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 19204 | Kansas |
Profile Details
| NPI number | 1982654638 |
|---|---|
| LBN Legal business name | Bryant, Rodney K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1982654638 | NPPES |
| Kansas | Other | 12025256 | CAQH |
| Kansas | MEDICAID | 100209280A | CAQH |
| Kansas | Other | 1982654638 | CAQH |
| Kansas | Other | 207RG0300X | CAQH |
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