Most Relevant Information
Provider Data
| NPI Number: | 1003550393 |
| Provider Name: | KRISTINE BRYAN |
| Entity Type: | Individual |
| Taxonomy Code: | 3747A0650X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/23/2022 |
| Last Updated: | 04/23/2022 |
Provider Practice Location
5905 O ST
LINCOLN
NE
685102235
Practice Location Phone/Fax
| Phone: | 4024361905 |
| Fax: |
Provider Mailing Location
5905 O ST
LINCOLN
NE
685102235
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |