Provider Demographics
NPI:1043931256
Name:GESKO, KIERAN AMBRY MARIA (ND)
Entity Type:Individual
Prefix:
First Name:KIERAN
Middle Name:AMBRY MARIA
Last Name:GESKO
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1961 N HARTFORD ST UNIT 1204
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-7310
Mailing Address - Country:US
Mailing Address - Phone:206-941-2422
Mailing Address - Fax:
Practice Address - Street 1:1961 N HARTFORD ST UNIT 1204
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-7310
Practice Address - Country:US
Practice Address - Phone:206-941-2422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath