Individual
DR. THEODORE WILLIAM KIEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MS
Contact information
Practice address
350 W 11TH ST, INDIANAPOLIS, IN 46202-4108
(317) 833-4172
Mailing address
350 W 11TH ST, INDIANAPOLIS, IN 46202-4108
(317) 833-4172
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
11016195A
IN
Other
Enumeration date
07/26/2011
Last updated
01/09/2021
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