Provider Demographics
NPI:1295626901
Name:CHILDS, KIRA
Entity type:Individual
Prefix:
First Name:KIRA
Middle Name:
Last Name:CHILDS
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 1:2760 LORD BALTIMORE DR UNIT M8P
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2637
Mailing Address - Country:US
Mailing Address - Phone:410-710-0419
Mailing Address - Fax:
Practice Address - Street 1:2760 LORD BALTIMORE DR UNIT M8P
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-2637
Practice Address - Country:US
Practice Address - Phone:410-710-0419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No372600000XNursing Service Related ProvidersAdult Companion