IndividualActive
Bryant Kearney, PAC
NPI 1366725541 · Surgical Physician Assistant · Prairie Du Sac, WI
Provider details
- NPI number
- 1366725541
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- License
- 2836-023 (WI)
Practice location
250 26th St
Prairie Du Sac, WI 53578-2204
Phone: (608) 643-2471
Fax: (608) 643-4788
Mailing address
250 26th St
Prairie Du Sac, WI 53578-2204
Registry dates
- Enumerated
- 2011-09-23
- Last updated
- 2021-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.