Basic Information
| Provider Information | |||||||||
| NPI: | 1508276676 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KEARNS | ||||||||
| FirstName: | SHAUNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8555 FAIRMOUNT DRIVE | ||||||||
| Address2: | F203 | ||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 80247 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8023451226 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4686 E ASBURY CIR | ||||||||
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| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802224723 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037561566 | ||||||||
| FaxNumber: | 3039870434 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/29/2014 | ||||||||
| LastUpdateDate: | 07/29/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 143036578 | CO | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.