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NPI Code Detail

MEDICARE: KYRA M GARNER

MEDICARE: KYRA M GARNER
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
1106S00000XBehavior Technician
2103K00000XBehavior AnalystKS

General Provider Information

NPI Number : 1447895545
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYRA M GARNER
Provider Business Mailing Address
First Line : 411 BROAD ST APT C
Second Line :
City : WARRENSBURG
State : MO
Zip : 64093-3141
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3020 S 7TH ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66103-2602
Country : US
Telephone Number : 913-258-5322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2019
Last Update Date : 01/31/2024

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Directions to “ KYRA M GARNER ” Practice Location

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