Individual
CHARLES LEWIS KIEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-4141
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(952) 463-5575
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
67041
MN
207P00000X
Emergency Medicine Physician
R4465
KY
207P00000X
Emergency Medicine Physician
Primary
T5944
TX
Other
Enumeration date
03/23/2017
Last updated
04/09/2024
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