Provider Demographics
NPI:1326855933
Name:BROWN, KIERA DANYALE
Entity type:Individual
Prefix:
First Name:KIERA
Middle Name:DANYALE
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27020 CEDAR RD APT 114
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-1136
Mailing Address - Country:US
Mailing Address - Phone:216-673-7508
Mailing Address - Fax:
Practice Address - Street 1:27020 CEDAR RD APT 114
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-1136
Practice Address - Country:US
Practice Address - Phone:216-673-7508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health