Individual
MRS. KORI S KIEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
801 N 11TH ST, SAINT LOUIS, MO 63101-1015
(314) 231-3720
Mailing address
801 N 11TH ST, SAINT LOUIS, MO 63101-1015
(314) 231-3720
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2004013571
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507265809
—
MO
Enumeration date
02/01/2007
Last updated
10/12/2012
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