Provider Demographics
NPI:1174325302
Name:COLEMAN, KIERA MICHELLE
Entity type:Individual
Prefix:
First Name:KIERA
Middle Name:MICHELLE
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 E STATE ROUTE 60 NE
Mailing Address - Street 2:
Mailing Address - City:MCCONNELSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43756-9794
Mailing Address - Country:US
Mailing Address - Phone:740-509-5606
Mailing Address - Fax:
Practice Address - Street 1:2315 E STATE ROUTE 60 NE
Practice Address - Street 2:
Practice Address - City:MCCONNELSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43756-9794
Practice Address - Country:US
Practice Address - Phone:740-509-5606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide