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NPI Code Detail

MEDICARE: KIERA DANEA LIGHTFOOT

MEDICARE:   KIERA DANEA LIGHTFOOT
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
1164W00000XLicensed Practical Nurse8913461AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235082702
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIERA DANEA LIGHTFOOT
Provider Business Mailing Address
First Line : 1131 EAGLETREE LN SW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35801-6491
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1131 EAGLETREE LN SW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35801-6491
Country : US
Telephone Number : 256-533-1970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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Directions to “ KIERA DANEA LIGHTFOOT ” Practice Location

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