Provider Demographics
NPI:1679308456
Name:KEEVER, KIANA D (MSW)
Entity type:Individual
Prefix:
First Name:KIANA
Middle Name:D
Last Name:KEEVER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:572 1/2 CINDY ANN RD
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-4982
Mailing Address - Country:US
Mailing Address - Phone:970-261-0143
Mailing Address - Fax:
Practice Address - Street 1:572 1/2 CINDY ANN RD
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-4982
Practice Address - Country:US
Practice Address - Phone:970-261-0143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSWC0000002153104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker