MEDICARE: KIRA SY RD, LDN, IBCLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174N00000X	Lactation Consultant (Non-RN)	L-157524
2	133V00000X	Registered Dietitian	DN006868	PA

General Provider Information

NPI Number	:	1558902684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRA SY RD, LDN, IBCLC

Provider Business Mailing Address
First Line	:	1500 CHESTNUT ST # 1652
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-2737
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 CHESTNUT ST # 1652
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-2737
Country	:	US
Telephone Number	:	215-380-5904
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2019
Last Update Date	:	05/05/2022

Similar Medicare Providers

1740138668 — DR. JEFF KAPLAN PHD
Practice Location Address:

1500 CHESTNUT ST STE 1532
PHILADELPHIA, PA
19102-2737

Practice Phone: 267-660-6097
Practice Fax:

1366964447 — AMANDA MICHELLE BONUS
Practice Location Address:

1500 CHESTNUT ST
PHILADELPHIA, PA
19102-2737

Practice Phone: 267-219-8242
Practice Fax:

1770046476 — AERO NEMT NON EMERGENCY MEDICAL TRANSPORTATION PHILADELPHIA LLC
Practice Location Address:

1500 CHESTNUT ST # 2-1863
PHILADELPHIA, PA
19102-2737

Practice Phone: 267-416-9234
Practice Fax:

1184256810 — ALLISON S. KENT LCSW
Practice Location Address:

1500 CHESTNUT ST STE 2820
PHILADELPHIA, PA
19102-2737

Practice Phone: 818-943-4761
Practice Fax:

1174142517 — CHERISE SMALL LCSW
Practice Location Address:

1500 CHESTNUT ST # 1110
PHILADELPHIA, PA
19102-2737

Practice Phone: 818-254-8531
Practice Fax:

1235743048 — LAUREN DAVIDHEISER MS, RD, LDN, IBCLC
Practice Location Address:

1500 CHESTNUT ST # 1652
PHILADELPHIA, PA
19102-2737

Practice Phone: 484-632-8420
Practice Fax:

Directions to “ KIRA SY RD, LDN, IBCLC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.