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General NPI Number Information
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NPI Number | 1952115941
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Entity Type | Organization
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Legal Business Name | K BRYANT ENTERPRISES, LLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 11731 EMERALD LAKE AVE
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City | LAS VEGAS
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State | NV
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Zip | 89138-6403
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Country | US
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Telephone | 702-588-3224
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Fax |
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Provider Business Mailing Address
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Address Line | 401 RYLAND ST STE 200A
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City | RENO
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State | NV
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Zip | 89502-1672
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Country | US
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Telephone | 702-588-3224
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KYARA BRYANT
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Credential | RN
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Telephone | 702-588-3224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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