Kendall Ather Bryant, PHD D

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

License

DI44696 Issued in FL

Practice address

520 Baker St
Orlando, FL 32806-2216

Phone

(402) 681-9757

NPI assigned

Aug 15, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1356867048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 BAKER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062216",
            "telephone_number": "402-681-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 BAKER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062216",
            "telephone_number": "402-681-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "KENDALL",
        "middle_name": "ATHER",
        "credential": "PHD D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "FL",
            "license": "DI44696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Northwest Permanente PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13705 NE Airport Way",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972301048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carolyn A Bryant, CRNA
• Christopher Scott Bryant, MD
• Clarence James Bryant, MD
• Deandra Bryant
• Debi Daneta Bryant, RBT
• Michael James Bryant, PHARM.D.
• Rachel Nichole Bryant, CCC-SLP
• Tamika Bryant
• Terrence Lyndell Bryant Sr., MA, BCBA
• Tracy D Bryant, CNA

• Clinical Laboratory Director (Non-physician) in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Laboratory Director (Non-physician) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.