Provider Demographics
NPI:1336957174
Name:MIAH, KIYONA
Entity type:Individual
Prefix:
First Name:KIYONA
Middle Name:
Last Name:MIAH
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 1:150 S BRYAN RD APT 604
Mailing Address - Street 2:
Mailing Address - City:DANIA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33004-3149
Mailing Address - Country:US
Mailing Address - Phone:410-982-4868
Mailing Address - Fax:
Practice Address - Street 1:150 S BRYAN RD APT 604
Practice Address - Street 2:
Practice Address - City:DANIA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33004-3149
Practice Address - Country:US
Practice Address - Phone:410-982-4868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL202408502374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula