Provider Demographics
NPI:1609278316
Name:SUMBRY, KYRIA (BA)
Entity Type:Individual
Prefix:
First Name:KYRIA
Middle Name:
Last Name:SUMBRY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5512 IRONSTONE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-9297
Mailing Address - Country:US
Mailing Address - Phone:706-442-9931
Mailing Address - Fax:
Practice Address - Street 1:5512 IRONSTONE DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-9297
Practice Address - Country:US
Practice Address - Phone:706-442-9931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker