Provider Demographics
NPI:1972991941
Name:ALLEN-BRYANT, KACY (RN, MSN, MPH)
Entity type:Individual
Prefix:
First Name:KACY
Middle Name:
Last Name:ALLEN-BRYANT
Suffix:
Gender:F
Credentials:RN, MSN, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 E EUCLID AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-1785
Mailing Address - Country:US
Mailing Address - Phone:859-269-9934
Mailing Address - Fax:
Practice Address - Street 1:824 E EUCLID AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-1785
Practice Address - Country:US
Practice Address - Phone:859-269-9934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-29
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1094548163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health