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NPI Code Detail

MEDICARE: KRISTY CYR

MEDICARE: KRISTY CYR
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 TechnicianNV

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 : 1942742721
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTY CYR
Provider Business Mailing Address
First Line : 5803 W CRAIG RD STE 105
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-2537
Country : US
Telephone Number : 702-901-5200
Fax Number :
Provider Business Practice Location Address
First Line : 5803 W CRAIG RD STE 105
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-2537
Country : US
Telephone Number : 702-901-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2016
Last Update Date : 11/10/2016

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Directions to “ KRISTY CYR ” Practice Location

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