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General NPI Number Information
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NPI Number | 1245885540
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Entity Type | Individual
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Provider Name | KAYLA MARIE BRYANT APRN, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/05/2019
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 1400 E BERT KOUN LOOP STE 100
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City | SHREVEPORT
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State | LA
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Zip | 71105-5647
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Country | US
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Telephone | 318-681-4606
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 GREENWOOD RD
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City | SHREVEPORT
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State | LA
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Zip | 71103-4010
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Country | US
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Telephone | 318-841-5800
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Fax | 318-841-5817
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 207480
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License Number State | LA
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