Individual
DR. KENNETH JOHN KIEFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
9500 RED ARROW HWY, BRIDGMAN, MI 49106-0769
(269) 465-3001
(269) 465-3001
Mailing address
PO BOX 769, BRIDGMAN, MI 49106-0769
(269) 465-3001
(269) 465-3001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901009243
MI
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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