Kearney, Bryant Randall
Kearney, Bryant Randall is an individual health care provider with primary practice located at 250 26Th St , Prairie Du Sac WI 53578-2204. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Kearney, Bryant Randall can be contacted via phone (608) 643-2471.Contact Information
Primary practice address
250 26Th St
Prairie Du Sac WI 53578-2204
Phone: (608) 643-2471
Fax: (608) 643-4788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2836-023 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2836-023 | Wisconsin |
Profile Details
| NPI number | 1366725541 |
|---|---|
| LBN Legal business name | Kearney, Bryant Randall |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2011 |
| Last updated | Apr 15th, 2021 - about 5 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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