Provider Demographics
NPI:1134911399
Name:GARRARD, KIERA
Entity type:Individual
Prefix:
First Name:KIERA
Middle Name:
Last Name:GARRARD
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 1:9080 TEANECK DR
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-3485
Mailing Address - Country:US
Mailing Address - Phone:317-605-2203
Mailing Address - Fax:317-605-2203
Practice Address - Street 1:9080 TEANECK DR
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-3485
Practice Address - Country:US
Practice Address - Phone:317-605-2203
Practice Address - Fax:317-605-2203
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN25-018824251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health