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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