Provider Demographics
NPI:1265497168
Name:COLLINS, KIRA DANIELLE (AUD)
Entity Type:Individual
Prefix:
First Name:KIRA
Middle Name:DANIELLE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 BIG VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-1025
Mailing Address - Country:US
Mailing Address - Phone:719-598-8168
Mailing Address - Fax:
Practice Address - Street 1:11211 S DRANSFELDT RD
Practice Address - Street 2:SUITE 133
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-9388
Practice Address - Country:US
Practice Address - Phone:303-841-8818
Practice Address - Fax:303-841-5088
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO260231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist