Provider Demographics
NPI:1558927350
Name:SETTINGSGAARD, KIRA
Entity Type:Individual
Prefix:
First Name:KIRA
Middle Name:
Last Name:SETTINGSGAARD
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 1:3171 BEAVER VU DR STE C
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45434-6368
Mailing Address - Country:US
Mailing Address - Phone:937-469-8781
Mailing Address - Fax:
Practice Address - Street 1:3171 BEAVER VU DR STE C
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45434-6368
Practice Address - Country:US
Practice Address - Phone:937-469-8781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
OHC.2002606101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0419767Medicaid
09211987OtherBIRTHDATE