Provider Demographics
NPI:1629278593
Name:KAYENTA UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:KAYENTA UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ESS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONNIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-697-2056
Mailing Address - Street 1:PO BOX 337
Mailing Address - Street 2:N HWY 163
Mailing Address - City:KAYENTA
Mailing Address - State:AZ
Mailing Address - Zip Code:86033-0337
Mailing Address - Country:US
Mailing Address - Phone:928-697-2056
Mailing Address - Fax:928-697-2095
Practice Address - Street 1:86033 N HWY 163
Practice Address - Street 2:
Practice Address - City:KAYENTA
Practice Address - State:AZ
Practice Address - Zip Code:86033-0337
Practice Address - Country:US
Practice Address - Phone:928-697-2056
Practice Address - Fax:928-697-2095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)