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Individual

CHRISTOPHER S KIEFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 STADIUM DR, MORGANTOWN, WV 26506-7911
(304) 293-2436
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 285-7101

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01067900A
IN
207P00000X
Emergency Medicine Physician
Primary
24926
WV
207P00000X
Emergency Medicine Physician
50881
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200982920
IN
05
ENROLLED
IA
05
ENROLLED
MN
Enumeration date
06/11/2007
Last updated
04/08/2022
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