Individual
LESLEY J KIEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1800 LAWRENCE DR, DE PERE, WI 54115-9108
(920) 983-3220
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56637-21
WI
Other
Enumeration date
04/30/2010
Last updated
08/24/2015
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