Individual
LAURA KIEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
2629 MARCY LN, FORT WAYNE, IN 46806-2591
(260) 267-0170
Mailing address
2629 MARCY LN, FORT WAYNE, IN 46806-2591
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
01/14/2021
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