KELLY BRYANT PIKE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163378

License Status

ACTIVE

Business

Title

First Name

KELLY

Middle

BRYANT

Last Name

PIKE

Business Name

KELLY BRYANT PIKE DO

Original Issue Date

01/11/2023

Effective Date

04/04/2023

Expiration Date

07/31/2026

City

NEW YORK

State

Zip

10012

Ever Disciplined

LastModifiedDate

02/04/2025