Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942732763 Individual Practitioner Female Practitioner

Dr. Kelly Marie Bryan , DO

Pediatrics • Mankato, MN

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Bryan, DO is a registered healthcare professional specializing in Pediatrics in Mankato, MN. Practice services are available at 1421 PREMIER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1421 Premier Dr

Mankato, MN 560016076

Telephone 5073898529
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Mankato, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.4 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
27 Specialists

Practicing in Mankato, MN (1325 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-08-26
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 67340

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License KY R4609

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

University Of Kentucky 800 Rose Street

Lexington, KY 40536

Phone: 8593232636

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1558144501

Doctor of Nursing Practice, CPNPPC

NPI 1659656031

Doctor of Philosophy (Ph.D.), Licensed Psychologist

NPI 1659750701

Doctor of Osteopathic Medicine (D.O.)

Laura Hoekstra

Dietitian, Registered

NPI 1710755582

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location August 26, 2020

Registered at 1421 PREMIER DR, MANKATO, MN 560016076 (Tel: 5073898529)

📍
Updated Business Mailing Address August 26, 2020

Registered at 1421 PREMIER DR, MANKATO, MN 560016076 (Tel: 5073898529)

👤
Provider Name / Credentials Updated August 26, 2020

Recorded as KELLY BRYAN, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2020

Pediatrics (License #67340 in MN)

📍
Updated Practice Location July 05, 2018

Registered at UNIVERSITY OF KENTUCKY 800 ROSE STREET, LEXINGTON, KY 40536 (Tel: 8593232636)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2018

Pediatrics (License #R4609 in KY)

NPI Profile Active March 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2017

Registered at 800 ROSE ST, ROOM MN-118, LEXINGTON, KY 405360293 (Tel: 8593235157)

📍
Updated Business Mailing Address March 30, 2017

Registered at 800 ROSE ST, ROOM MN-118, LEXINGTON, KY 405360293 (Tel: 8593235157)

👤
Provider Name / Credentials Updated March 30, 2017

Recorded as KELLY WILSON, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 30, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942732763
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2017
Last Update: August 26, 2020
Sole Proprietor: No

Mailing Address

1421 Premier Dr

Mankato, MN 560016076

Phone: 5073898529

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.