Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | ||
N | 175F00000X | Naturopath |
NPI | 1154504710 |
---|---|
Provider Name | Dr. Keili Adiyah Lumiere |
First Address | Eureka Springs, AR 72632-3653 |
Second Address | Eureka Springs, AR 72632-3653 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2007 |
Last Update Date | 03/02/2020 |