Individual
AUTUMN STARN KIEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506
(304) 293-1202
(304) 293-1234
Mailing address
PO BOX 9214, MORGANTOWN, WV 26506-9214
(304) 293-1202
(304) 293-1234
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01068330B
IN
208000000X
Pediatrics Physician
50880
MN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25181
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
06/11/2007
Last updated
04/07/2022
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