Individual
MRS. JULIANN KAY KIEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
705 RILEY HOSPITAL DR # 4340, INDIANAPOLIS, IN 46202-5109
(317) 944-2143
(317) 944-3107
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
28234510
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71006966
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952650673
—
MO
Enumeration date
09/10/2012
Last updated
11/27/2020
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