Karen D Bryan, LPN

Individual provider Active NPI Licensed Practical Nurse · Cuddebackville, NY

NPI 1235451766 · NPPES record last updated Feb 25, 2010

Key facts

NPI
1235451766
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
242450 (NY)
Practice address
30 Galley Hill Rd
Cuddebackville, NY 12729-5204
Phone
(845) 754-8756
Fax
(845) 754-7141
NPI assigned
Feb 25, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
242450NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
KDL Home Health Care Agency, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 242450 NY Yes

Addresses

Primary practice location

30 Galley Hill Rd
Cuddebackville, NY 12729-5204

Mailing address

30 Galley Hill Rd
Cuddebackville, NY 12729-5204
Phone (845) 754-8756

Other providers in Cuddebackville, NY

All providers in Cuddebackville, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.