Kiryanoff, Jessica
Kiryanoff, Jessica is an individual health care provider with primary practice located at 300 68Th St Se , Grand Rapids MI 49548-6927. 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. Kiryanoff, Jessica can be contacted via phone (616) 455-5000.Contact Information
Primary practice address
300 68Th St Se
Grand Rapids MI 49548-6927
Phone: (616) 455-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | L644204 | Michigan |
Profile Details
| NPI number | 1558746735 |
|---|---|
| LBN Legal business name | Kiryanoff, Jessica |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2015 |
| Last updated | Aug 5th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558746735 | NPPES |
| Michigan | MEDICAID | 1073658597 |
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