Individual
MS. BRENDA PAULINE KENYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6028 HEXAGON DR, FAIRFIELD, OH 45014-4820
(513) 829-2659
Mailing address
6028 HEXAGON DR, FAIRFIELD, OH 45014-4820
(513) 829-2659
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2665398
—
OH
Enumeration date
08/12/2009
Last updated
08/17/2009
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