Individual
KYLE KIEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
751 N RUTLEDGE ST, SPRINGFIELD, IL 62702-4968
(217) 545-8000
Mailing address
1905 TURTLE CREEK DR, CHATHAM, IL 62629-8815
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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