Individual
CAROLINE MARIE KIEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
56 NELSON AVE, BLUE POINT, NY 11715-1229
(631) 353-9931
Mailing address
56 NELSON AVE, BLUE POINT, NY 11715-1229
(631) 353-9931
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004333
NY
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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