Individual
STACEY KIEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 649-5841
Mailing address
1392 LAWSON AVE, ERIE, CO 80516-2468
(303) 518-3969
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
0193965
CO
Other
Enumeration date
07/24/2016
Last updated
07/24/2016
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