Individual
WILLIAM F KIEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12406 TESSON FERRY RD, SAINT LOUIS, MO 63128-2702
(314) 843-1716
(314) 843-0196
Mailing address
40 E NORTH ST, EUREKA, MO 63025-1205
(636) 200-4393
(636) 938-2650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02269
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588627400
—
MO
01
—
P00837143
RR MEDICARE
MO
Enumeration date
04/11/2006
Last updated
10/02/2014
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