Individual
ROBERT WOODROW KIEFABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1380 E STROOP RD, KETTERING, OH 45429-4926
(937) 293-3486
(937) 293-3605
Mailing address
1380 E STROOP RD, KETTERING, OH 45429-4926
(937) 293-3486
(937) 293-3605
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35053102K
OH
207RI0011X
Interventional Cardiology Physician
35053102
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000039028
ANTHEM
OH
01
—
060053778
RR MEDICARE
OH
05
—
0626700
—
OH
01
—
2154022
AETNA
OH
01
—
2501765
UNITED HEALTHCARE
OH
01
—
D5310207
HUMANA
OH
Enumeration date
12/01/2005
Last updated
04/27/2016
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