DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SIRE KEITA

Active Sole Proprietor

SIRE KEITA is a Developmental Disabilities Clinic healthcare provider located in GOODYEAR, Arizona. NPI 1760378095 is currently active in the NPPES registry. Verify at CMS.

Developmental Disabilities Clinic · GOODYEAR, AZ

Registration Details

NPI Number
1760378095
Provider Type
Individual
Gender
Female
NPI Issued
Jun 13, 2025 (1.1814384875507 yrs)
Last Updated
Jun 13, 2025
Sole Proprietor
Yes

Practice Information

Address
15780 W SUPERIOR AVE
GOODYEAR, AZ, 853380030
Browse AZ providers · Browse ZIP 85338
Phone
6236327473
Primary Specialty
Developmental Disabilities Clinic
261QD1600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.