Provider Demographics
NPI:1437393790
Name:SCHUEPPERT, KIRA NICOLE (LAC)
Entity type:Individual
Prefix:MRS
First Name:KIRA
Middle Name:NICOLE
Last Name:SCHUEPPERT
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:21003 SKY MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-8826
Mailing Address - Country:US
Mailing Address - Phone:720-220-8094
Mailing Address - Fax:720-220-8094
Practice Address - Street 1:12157 W CEDAR DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-2100
Practice Address - Country:US
Practice Address - Phone:720-220-8094
Practice Address - Fax:720-220-8094
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0000980171100000X
CO980171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist