Doctor Name: | FRANK A KIEFER |
NPI Number: | 1649323809 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | 10000044A |
Business Practice Address: | 1214 E National Ave Suite 100 Brazil, IN - 478342700 |
Business Phone Number: | 8124422820 |
Business Fax Number: | 8124422821 |
Mailing Address: | 10330 N Meridian St, Suite 201 INDIANAPOLIS |
State: | IN |
Postal Code: | 462901024 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 09/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 10000044A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |