Provider Demographics
NPI:1497585491
Name:QUINT, KIAHA
Entity type:Individual
Prefix:
First Name:KIAHA
Middle Name:
Last Name:QUINT
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 1:1147 E CLOUDBURST LN
Mailing Address - Street 2:
Mailing Address - City:PUEBLO WEST
Mailing Address - State:CO
Mailing Address - Zip Code:81007-7124
Mailing Address - Country:US
Mailing Address - Phone:719-406-0666
Mailing Address - Fax:
Practice Address - Street 1:1147 E CLOUDBURST LN
Practice Address - Street 2:
Practice Address - City:PUEBLO WEST
Practice Address - State:CO
Practice Address - Zip Code:81007-7124
Practice Address - Country:US
Practice Address - Phone:719-406-0666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula