| Doctor Name: | DR. KENYA SADE BRYANT |
| NPI Number: | 1043518673 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 482 |
| Business Practice Address: | 902 Biddle Ave Fort Leavenworth, KS - 660270286 |
| Business Phone Number: | 8162928037 |
| Business Fax Number: | |
| Mailing Address: | Po Box 3286, FORT LEAVENWORTH |
| State: | KS |
| Postal Code: | 660270286 |
| Phone Number: | 8162928037 |
| Fax Number: | |
| NPI Enumeration Date: | 03/07/2011 |
| NPI Last Update Date: | 08/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 482 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |