Individual
DR. KENYA SADE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
902 BIDDLE AVE, FORT LEAVENWORTH, KS 66027-0286
(816) 292-8037
Mailing address
PO BOX 3286, FORT LEAVENWORTH, KS 66027-0286
(816) 292-8037
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
482
NE
Other
Enumeration date
03/07/2011
Last updated
08/24/2011
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