Provider Demographics
NPI:1992589162
Name:JOYNER, KYRA
Entity type:Individual
Prefix:
First Name:KYRA
Middle Name:
Last Name:JOYNER
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 1:14148 85TH RD APT 5C
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-2571
Mailing Address - Country:US
Mailing Address - Phone:646-259-5252
Mailing Address - Fax:
Practice Address - Street 1:14148 85TH RD APT 5C
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-2571
Practice Address - Country:US
Practice Address - Phone:646-259-5252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-21
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist