MEDICARE: KIRA HOWARD

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	235Z00000X	Speech-Language Pathologist	8377356-4102	UT

General Provider Information

NPI Number	:	1477093243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRA HOWARD

Provider Business Mailing Address
First Line	:	3273 S CEDAR GROVE LN
Second Line	:
City	:	SARATOGA SPRINGS
State	:	UT
Zip	:	84045-5016
Country	:	US
Telephone Number	:	435-764-2568
Fax Number	:

Provider Business Practice Location Address
First Line	:	3273 S CEDAR GROVE LN
Second Line	:
City	:	SARATOGA SPRINGS
State	:	UT
Zip	:	84045-5016
Country	:	US
Telephone Number	:	435-764-2568
Fax Number	:

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

Provider Enumeration Date	:	02/27/2017
Last Update Date	:	02/27/2017

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Directions to “ KIRA HOWARD ” Practice Location

Language	Start Address	Practice Location

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