Provider Demographics
NPI:1528798600
Name:GBUR, KIRA ANA (BC-HAS)
Entity type:Individual
Prefix:
First Name:KIRA ANA
Middle Name:
Last Name:GBUR
Suffix:
Gender:F
Credentials:BC-HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 SE 13TH PL APT B
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-2672
Mailing Address - Country:US
Mailing Address - Phone:310-448-3188
Mailing Address - Fax:
Practice Address - Street 1:2209 SANTA BARBARA BLVD STE 102
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33991-4333
Practice Address - Country:US
Practice Address - Phone:239-673-9507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5649237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist