Kayla Marie Keirstead | Medford, MA • PECOS Search

Kayla Marie Keirstead

Counselor

Behavioral Health & Social Service Providers

151 Mystic Ave, Medford, MA 02155-4632

(781) 396-1199 (617) 953-8089

PECOS Enrollment

Based on the most recent information from CMS, provider Kayla Marie Keirstead does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:04 AM.

Profile Details

Provider ID
1932676947
Provider Type
Individual
Full Name
Keirstead, Kayla Marie
Gender
Female

Sole Proprietor
No
Enumeration Date
10/28/2018
Last Updated
10/28/2018

Contact Information

Practice Location

151 Mystic Ave, Medford, MA 02155-4632

Unlisted Fax

Mailing Location

11 Faneuil Rd, Waltham, MA 02452-6145

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer