Individual
DR. LARRY D KIEFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1136 E STUART ST, STE 2100, FORT COLLINS, CO 80525-1197
(970) 493-5904
(970) 493-5973
Mailing address
1136 E STUART ST, STE 2100, FORT COLLINS, CO 80525-1197
(970) 493-5904
(970) 493-5973
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21392
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01213925
—
CO
Enumeration date
05/23/2005
Last updated
10/21/2011
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