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NPI Code Detail

MEDICARE: OLIVIA BROOKE KENDRICK

MEDICARE: OLIVIA BROOKE KENDRICK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1871457812
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA BROOKE KENDRICK
Provider Business Mailing Address
First Line : 128 JONES AVE
Second Line :
City : CALHOUN
State : GA
Zip : 30701-2040
Country : US
Telephone Number : 706-263-2228
Fax Number :
Provider Business Practice Location Address
First Line : 225 W LINE ST STE 4
Second Line :
City : CALHOUN
State : GA
Zip : 30701-1837
Country : US
Telephone Number : 678-383-0636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “ OLIVIA BROOKE KENDRICK ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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