Individual
KIRA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12020 N 35TH AVE STE 109, PHOENIX, AZ 85029-3213
(602) 780-1179
Mailing address
311 N 1ST AVE APT 402, PHOENIX, AZ 85003-1851
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
01/10/2026
Last updated
01/10/2026
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