Provider Demographics
NPI:1518633585
Name:BURKEENS, KIEANA R
Entity Type:Individual
Prefix:MRS
First Name:KIEANA
Middle Name:R
Last Name:BURKEENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KIEANA
Other - Middle Name:R
Other - Last Name:PRICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:112 TITAN DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-1197
Mailing Address - Country:US
Mailing Address - Phone:256-275-7089
Mailing Address - Fax:
Practice Address - Street 1:105 W 2ND ST
Practice Address - Street 2:
Practice Address - City:TUSCUMBIA
Practice Address - State:AL
Practice Address - Zip Code:35674-1935
Practice Address - Country:US
Practice Address - Phone:256-275-7089
Practice Address - Fax:256-826-1833
Is Sole Proprietor?:No
Enumeration Date:2021-08-19
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician