Individual
DR. KEVIN M. KIEFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
33701 STATE ROAD 52, DEPARTMENT OF PSYCHOLOGY MC 2127, SAINT LEO, FL 33574-6665
(352) 588-8306
(352) 588-8300
Mailing address
19513 COACHLIGHT WAY, LUTZ, FL 33549-4037
(352) 588-8306
(352) 588-8300
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6615
FL
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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