Provider Demographics
NPI:1427493022
Name:PERKINS, KIARA (SLP)
Entity type:Individual
Prefix:
First Name:KIARA
Middle Name:
Last Name:PERKINS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5161 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:RICHTON PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60471-1523
Mailing Address - Country:US
Mailing Address - Phone:708-262-1475
Mailing Address - Fax:
Practice Address - Street 1:5161 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:RICHTON PARK
Practice Address - State:IL
Practice Address - Zip Code:60471-1523
Practice Address - Country:US
Practice Address - Phone:708-262-1475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-08
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist