Provider Demographics
NPI:1588237259
Name:PRITCHETT, KIERA
Entity Type:Individual
Prefix:
First Name:KIERA
Middle Name:
Last Name:PRITCHETT
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 1:232 N ERIN AVE
Mailing Address - Street 2:
Mailing Address - City:FELTON
Mailing Address - State:DE
Mailing Address - Zip Code:19943-9228
Mailing Address - Country:US
Mailing Address - Phone:302-883-7513
Mailing Address - Fax:
Practice Address - Street 1:232 N ERIN AVE
Practice Address - Street 2:
Practice Address - City:FELTON
Practice Address - State:DE
Practice Address - Zip Code:19943-9228
Practice Address - Country:US
Practice Address - Phone:302-883-7513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker