Jacklyn D Kiefer in Greenwood - Sports Medicine
Jacklyn D Kiefer - NPI 1679796775
Jacklyn D Kiefer is a Sports Medicine in Greenwood, Indiana. Jacklyn D Kiefer practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jacklyn D Kiefer is 1679796775. The last update date is 2023-11-27.
Jacklyn D Kiefer's current location address is 533 E County Line Rd Ste 101, Greenwood, Indiana. You can contact this provider via phone number 3179579050. The mailing address for Jacklyn D Kiefer is 533 E County Line Rd Ste 101, Greenwood, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacklyn D Kiefer |
|---|---|
| Address | 533 E County Line Rd Ste 101, Greenwood, Indiana |
| Phone Number | 3179579050 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1679796775 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2023-11-27 |
Provider Mailing Address Detail
| Address | 533 E County Line Rd Ste 101 |
|---|---|
| City | Greenwood |
| State | Indiana (IN) |
| Post Code | 46143 |
| Phone Number | 3179579050 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 02003257A |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00885864 | OH | RR MEDICARE | |
| 2957966 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jacklyn D Kiefer by the Centers for Medicare & Medicaid Services?
The Jacklyn D Kiefer has been assigned the NPI (National Provider Identifier) 1679796775 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jacklyn D Kiefer is geographically located?
The Jacklyn D Kiefer is physically situated at the following location: 533 E County Line Rd Ste 101, Greenwood, IN, 46143.
What is Jacklyn D Kiefer's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jacklyn D Kiefer is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 207Qs0010X.
On what date did the Jacklyn D Kiefer receive the assignment of its 1679796775 from the Centers for Medicare & Medicaid Services?
The Jacklyn D Kiefer was issued its 1679796775 by the Centers for Medicare & Medicaid Services on 2007-04-10.
When was the information regarding Jacklyn D Kiefer, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jacklyn D Kiefer, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-11-27.