Individual
CAROLYN ANN KIEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3206 S CONWAY RD, SUITE 5, ORLANDO, FL 32812-7348
(321) 251-7877
(321) 206-8212
Mailing address
1000 LANDVIEW CT, ORLANDO, FL 32828-8381
(407) 658-4959
(407) 658-4919
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT15066
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y914V
BCBS
FL
Enumeration date
05/21/2007
Last updated
07/08/2007
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