Most Relevant Information
Provider Data
| NPI Number: | 1003563172 |
| Provider Name: | KIMBERLY LENETTE BRYANT |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/08/2022 |
| Last Updated: | 03/08/2022 |
Provider Practice Location
18 E 2ND ST
CHILLICOTHE
OH
456012523
Practice Location Phone/Fax
| Phone: | 8003218293 |
| Fax: |
Provider Mailing Location
PO BOX 132
ATHENS
OH
457010132
Provider Mailing Phone/Fax
| Phone: | 8003218293 |
| Fax: |