Provider Demographics
NPI:1811771447
Name:FEELEY, KIERRA ELIZABETH (MA, CF-SLP)
Entity type:Individual
Prefix:MISS
First Name:KIERRA
Middle Name:ELIZABETH
Last Name:FEELEY
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 WILSON DR
Mailing Address - Street 2:
Mailing Address - City:HAZLETON
Mailing Address - State:PA
Mailing Address - Zip Code:18201-6842
Mailing Address - Country:US
Mailing Address - Phone:570-956-7492
Mailing Address - Fax:
Practice Address - Street 1:1695 LENAPE RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-6801
Practice Address - Country:US
Practice Address - Phone:610-793-1212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility