Provider Demographics
NPI:1366795452
Name:KIERS, DENISE JOY
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:JOY
Last Name:KIERS
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 1:7044 BRONINGTON DR SW
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98512-7391
Mailing Address - Country:US
Mailing Address - Phone:360-481-8415
Mailing Address - Fax:
Practice Address - Street 1:3250 MORSE MERRYMAN RD SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-5934
Practice Address - Country:US
Practice Address - Phone:360-596-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant