| 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 |
|---|---|
| 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 |
Independent Physical Therapy Of Ga, Llc 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 | |
Addie Elaine Duncan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7938 Ga Highway 21 Ste 300, Port Wentworth, GA 31407 Phone: 912-965-0601 | |
Amanda Clementz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7938 Ga Highway 21 Ste 300, Port Wentworth, GA 31407 Phone: 912-965-0601 |