Kylah Maxwell-brown, | |
7938 Ga Highway 21 Ste 300, Port Wentworth, GA 31407-9808 | |
(912) 965-0601 | |
Not Available |
Full Name | Kylah Maxwell-brown |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 7938 Ga Highway 21 Ste 300, Port Wentworth, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568140929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Kitsap Physical Therapy And Sports Clinic Ps Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912902347 PECOS PAC ID: 6507762333 Enrollment ID: O20031211000242 |
Mailing Address | Practice Location Address |
---|---|
Kylah Maxwell-brown, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (866) 518-0283 | Kylah Maxwell-brown, 7938 Ga Highway 21 Ste 300, Port Wentworth, GA 31407-9808 Ph: (912) 965-0601 |
Emily Cordray, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7938 Ga Highway 21 Ste 300, Port Wentworth, GA 31407 Phone: 912-965-0601 | |
Benchmark Pt - Port Wentworth Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7938 Ga Highway 21, Ste 300, Port Wentworth, GA 31407 Phone: 912-965-0601 Fax: 912-965-0603 | |
Amanda Clementz, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7938 Ga Highway 21 Ste 300, Port Wentworth, GA 31407 Phone: 912-965-0601 |