Provider Demographics
NPI:1841998903
Name:PRYOR, KYRSHA
Entity type:Individual
Prefix:
First Name:KYRSHA
Middle Name:
Last Name:PRYOR
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 1:1441 DETROIT AVE APT 173
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-3527
Mailing Address - Country:US
Mailing Address - Phone:925-250-4990
Mailing Address - Fax:
Practice Address - Street 1:1441 DETROIT AVE APT 173
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-3527
Practice Address - Country:US
Practice Address - Phone:925-250-4990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula