Beard, Kiesha Lashay

Beard, Kiesha Lashay is an individual health care provider with primary practice located at 4813 W Gary Way , Laveen AZ 85339-2340. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Beard, Kiesha Lashay can be contacted via phone (313) 930-1943.

Contact Information

Primary practice address
4813 W Gary Way Laveen AZ 85339-2340
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLPL5073 Arizona

Profile Details

NPI number 1649318858
LBN Legal business name Beard, Kiesha Lashay
Credentials BS SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649318858 NPPES
Arizona MEDICAID 134813

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