Individual
DR. ANDREW DAVID KIEFERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3221 VOYAGER DR, GREEN BAY, WI 54311-8349
(920) 664-0047
(920) 908-8476
Mailing address
3221 VOYAGER DR, GREEN BAY, WI 54311-8349
(920) 664-0047
(920) 908-8476
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4034012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38953500
—
WI
Enumeration date
11/29/2006
Last updated
08/25/2009
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