Provider Demographics
NPI:1740990738
Name:SANCHEZ, KIARA
Entity type:Individual
Prefix:
First Name:KIARA
Middle Name:
Last Name:SANCHEZ
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 1:85 OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-3600
Mailing Address - Country:US
Mailing Address - Phone:978-397-4071
Mailing Address - Fax:
Practice Address - Street 1:70-71 N PARISH RD
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-2914
Practice Address - Country:US
Practice Address - Phone:978-975-2750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-30
Last Update Date:2025-10-09
Deactivation Date:2025-09-17
Deactivation Code:
Reactivation Date:2025-10-09
Provider Licenses
StateLicense IDTaxonomies
MA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program