Organization Name: | MONICA KIEFFER, D.O., INC. |
NPI Number: | 1548323058 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANNA C. LAWRENCE (OFFICE MANAGER) |
Mailing Address: | 842 2nd St Encinitas |
State: | CA US |
Postal Code: | 920244408 |
Phone Number: | 7604366882 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 02/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A5594 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |