Provider Demographics
NPI:1386957835
Name:BRYANT, KENDRA D (LPN)
Entity type:Individual
Prefix:MISS
First Name:KENDRA
Middle Name:D
Last Name:BRYANT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7255 LEE HWY APT 212
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-1704
Mailing Address - Country:US
Mailing Address - Phone:423-933-4355
Mailing Address - Fax:
Practice Address - Street 1:921 E. 3RD ST.
Practice Address - Street 2:CHATTANOOGA HAMILTON COUNTY HEALTH DEPARTMENT
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403
Practice Address - Country:US
Practice Address - Phone:423-209-8250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN43902164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse