MEDICARE: KAYLA BRYANT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	35.134681	OH

General Provider Information

NPI Number	:	1952797185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA BRYANT MD

Provider Business Mailing Address
First Line	:	1447 ARTHUR AVE
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-3801
Country	:	US
Telephone Number	:	216-789-3467
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-2119
Country	:	US
Telephone Number	:	216-445-9132
Fax Number	:	216-445-4552

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2015
Last Update Date	:	02/28/2019

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Directions to “ KAYLA BRYANT MD” Practice Location

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