Individual
AGATHA RENEE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 BEULAH CHURCH RD, LOUISVILLE, KY 40291-2708
(502) 762-9608
Mailing address
9300 BEULAH CHURCH RD, LOUISVILLE, KY 40291-2708
(502) 762-9608
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
2016840
KY
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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