Provider Demographics
NPI:1255943155
Name:ONYIA, KIEARA
Entity type:Individual
Prefix:MRS
First Name:KIEARA
Middle Name:
Last Name:ONYIA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 N GILBERT RD STE 300
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-5998
Mailing Address - Country:US
Mailing Address - Phone:480-799-7267
Mailing Address - Fax:480-808-4089
Practice Address - Street 1:313 N GILBERT RD STE 300
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-5998
Practice Address - Country:US
Practice Address - Phone:480-799-7267
Practice Address - Fax:480-808-4089
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-21
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Q00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyGroup - Single Specialty
No291U00000XLaboratoriesClinical Medical Laboratory