Bryant Kilbourn

NPI 1053574830 - Psychologist - 103TC0700X

NPI Details
NPI 1053574830
Gender Male
Enumeration Date 07/02/2008
Last Updated 12/09/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
2712 MIDDLEBURG DR
SUITE 105
COLUMBIA SC, 29204-2415, US
Phone (803) 569-1789
Fax
Business Location
1155 LADY ST
APT. 504
COLUMBIA SC, 29201-6228, US
Phone (517) 740-6564
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State South Carolina
License Number 1254
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According to our database, Bryant Kilbourn NPI is 1053574830, taxonomy code is 103TC0700X and license number is 1254, license state is located at South Carolina. Bryant Kilbourn physically located at 2712 Middleburg Dr, Columbia SC, 29204-2415. NPI Number Bryant Kilbourn has the Individual type.

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1053574830 NPI number is provided on an as is basis without warranty of any kind. 1053574830 is maintained by the National Plan & Provider Enumeration System. The contents of Bryant Kilbourn are for informational purposes only.