Individual
MEGAN M KIEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
3000 32ND AVE S, INNOVIS HEALTH, LLC, FARGO, ND 58103
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, INNOVIS HEALTH, LLC, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
993
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55175
—
ND
Enumeration date
01/22/2008
Last updated
05/14/2012
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