Individual
STEPHEN KIEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
162 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804-5902
(865) 982-7681
(865) 681-3387
Mailing address
701 MORGANTON SQUARE DRIVE, MARYVILLE, TN 37801-4796
(865) 273-1752
(865) 273-1755
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
14718
TN
207RI0011X
Interventional Cardiology Physician
Primary
14718
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513563
—
TN
Enumeration date
10/25/2005
Last updated
09/30/2011
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