Individual
JACKLYN D KIEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
533 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143
(317) 957-9050
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02003257A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
02003257A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2957966
—
OH
01
—
P00885864
RR MEDICARE
OH
Enumeration date
04/10/2007
Last updated
11/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us