Individual
DR. NICOLE ANNA KIEFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2223 LIME KILN RD STE 1, GREEN BAY, WI 54311-6238
(920) 430-8113
Mailing address
2223 LIME KILN RD STE 1, GREEN BAY, WI 54311-6238
(920) 430-8113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OP60447300
WA
207RR0500X
Rheumatology Physician
Primary
53103
WI
207RR0500X
Rheumatology Physician
OP60447300
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003672
—
WI
Enumeration date
11/05/2007
Last updated
05/28/2025
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