Individual
GINA KIEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4000 STATE ROAD 16 - VALLEY VIEW MALL ANNEX, LA CROSSE, WI 54601
(608) 784-3886
(608) 374-8201
Mailing address
2525 WESTERN AVE, LA CROSSE, WI 54603-1149
(608) 784-3886
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
191204
WI
163WP2201X
Ambulatory Care Registered Nurse
Primary
191204-30
WI
Other
Enumeration date
11/12/2019
Last updated
04/09/2026
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