National Provider Identifier
Kelley A Bryant
Kelley A Bryant is listed in the NPPES registry with a primary specialty of Social Worker in Lyons, NY and a listed phone number of (315) 946-5722.
Profile Overview
- NPI
- 1659010122
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- June 02, 2022
- Last Updated
- June 02, 2022
Practice Location
- 1519 Nye RD
- Lyons, NY 14489-9133
Phone: (315) 946-5722
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1659010122
- Entity Type
- Individual
- Last Name
- Bryant
- First Name
- Kelley
- Middle Name
- A
- Mailing Street Address
- 1519 Nye RD
- Mailing City
- Lyons
- Mailing State
- NY
- Mailing ZIP Code
- 14489-9133
- Mailing Country
- US
- Mailing Phone
- (315) 946-5722
- Mailing Fax
- (315) 946-5726
- Practice Street Address
- 1519 Nye RD
- Practice City
- Lyons
- Practice State
- NY
- Practice ZIP Code
- 14489-9133
- Practice Country
- US
- Practice Phone
- (315) 946-5722
- Practice Fax
- (315) 946-5726
- Enumeration Date
- June 02, 2022
- Last Updated
- June 02, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 11, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)