Individual
DR. KENYATTA D. BRANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3339 HIGHWAY 34 E, SHARPSBURG, GA 30277-3564
(770) 304-2025
Mailing address
15933 CLAYTON RD STE 210, BALLWIN, MO 63011-2172
(636) 200-4393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003563
GA
152WC0802X
Corneal and Contact Management Optometrist
OPT003563
GA
Other
Enumeration date
11/10/2006
Last updated
12/12/2025
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