Provider Demographics
NPI:1164063582
Name:BRYSON, KAITLYN KOWALSKI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAITLYN
Middle Name:KOWALSKI
Last Name:BRYSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KAITLYN
Other - Middle Name:ELIZABETH
Other - Last Name:KOWALSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:800 ROSE ST # H110
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0316
Mailing Address - Country:US
Mailing Address - Phone:859-257-1000
Mailing Address - Fax:
Practice Address - Street 1:800 ROSE ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0316
Practice Address - Country:US
Practice Address - Phone:859-257-6006
Practice Address - Fax:859-257-6002
Is Sole Proprietor?:No
Enumeration Date:2019-10-07
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0212861835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology