Organization
LAIRD KHEPERA INSTITUTE, LLC
Active
Organization
LAIRD KHEPERA INSTITUTE, LLC
Active
Other names
LKI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NYAMEKYE LAIRD PH. D. (PSYCHOLOGIST)
(727) 793-9376
Entity
Organization
Contact information
Practice address
2365 5TH AVE N, ST PETERSBURG, FL 33713-7005
(727) 793-9376
(866) 479-3677
Mailing address
2365 5TH AVE N, ST PETERSBURG, FL 33713-7005
(727) 793-9376
(866) 479-3677
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PY7843
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962588392
NPI
FL
01
—
5932Q
BLUE CROSS BLUE SHIELD
FL
01
—
9741408
AETNA
FL
Enumeration date
06/18/2014
Last updated
06/18/2014
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