Individual
KILEY SHIRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 PROFESSIONAL CT, LAFAYETTE, IN 47905-5209
(765) 423-7988
(844) 689-1205
Mailing address
10519 E COUNTY ROAD 400 N, FOREST, IN 46039-9507
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IN
Other
Enumeration date
09/13/2025
Last updated
09/13/2025
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