Individual
KYLE MATTHEW TIEFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1525 BOWLES AVE STE C, FENTON, MO 63026-2310
(636) 343-5500
(636) 343-5506
Mailing address
1525 BOWLES AVE STE C, FENTON, MO 63026-2310
(636) 343-5500
(636) 343-5506
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2012013166
MO
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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