Individual
BRYASHA KENNEBREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 15TH AVE STE 103, COLUMBUS, GA 31901-2308
(762) 720-5029
Mailing address
1350 15TH AVE STE 135015TH, COLUMBUS, GA 31901-2308
(762) 720-5029
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
23252679
GA
Other
Enumeration date
04/18/2024
Last updated
04/07/2025
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