| Doctor Name: | ROBERT JAMES KIFFMEYER |
| NPI Number: | 1487699781 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 50-002433 |
| Business Practice Address: | 885 N Sandusky Ave Upper Sandusky, OH - 433511031 |
| Business Phone Number: | 4192944991 |
| Business Fax Number: | 4192942233 |
| Mailing Address: | 885 N Sandusky Ave, UPPER SANDUSKY |
| State: | OH |
| Postal Code: | 433511031 |
| Phone Number: | 4192944991 |
| Fax Number: | 4192942233 |
| NPI Enumeration Date: | 06/19/2006 |
| NPI Last Update Date: | 12/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 50-002433 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |