Provider Demographics
NPI:1013389634
Name:KIARA SAUNDERS
Entity Type:Organization
Organization Name:KIARA SAUNDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INDEPENDENT PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:KIARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-966-4551
Mailing Address - Street 1:6367 LOWRIDGE DR APT J
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-9468
Mailing Address - Country:US
Mailing Address - Phone:614-966-4551
Mailing Address - Fax:
Practice Address - Street 1:3260 THORNWAY DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-6118
Practice Address - Country:US
Practice Address - Phone:614-473-0664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-22
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0143701Medicaid