Provider Demographics
NPI:1437393790
Name:SCHUEPPERT, KIRA NICOLE (LAC)
Entity Type:Individual
Prefix:MRS
First Name:KIRA
Middle Name:NICOLE
Last Name:SCHUEPPERT
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14799 W 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-5298
Mailing Address - Country:US
Mailing Address - Phone:303-384-0052
Mailing Address - Fax:303-384-3308
Practice Address - Street 1:14799 W 6TH AVE
Practice Address - Street 2:SUITE B1
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-5298
Practice Address - Country:US
Practice Address - Phone:303-384-0052
Practice Address - Fax:303-384-3308
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO980171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist