Individual
MRS. CLAIRE ELIZABETH KIFER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1760 N WOODLAND AVE, FAYETTEVILLE, AR 72703-2549
(479) 443-4420
(479) 443-0547
Mailing address
3775 AMBERWOOD ST, SPRINGDALE, AR 72762-0565
(479) 756-6999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2748
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2748
LISCENSE NUMBER
AR
01
—
5Y159
BCBS PROVIDER NUMBER
AR
Enumeration date
05/05/2006
Last updated
07/09/2007
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