Healthcare Provider Details

I. General information

NPI: 1871138545
Provider Name (Legal Business Name): KENYADA BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2019
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4365 READING ROAD
CINCINNATI OH
45229-1095
US

IV. Provider business mailing address

4365 READING ROAD
CINCINNATI OH
45229-1095
US

V. Phone/Fax

Practice location:
  • Phone: 513-903-5226
  • Fax:
Mailing address:
  • Phone: 513-903-5226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: