Kiefer, Jacklyn D

Kiefer, Jacklyn D is an individual health care provider with primary practice located at 533 E County Line Rd Ste 101 , Greenwood IN 46143. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Kiefer, Jacklyn D can be contacted via phone (317) 957-9050.

Contact Information

Primary practice address
533 E County Line Rd Ste 101 Greenwood IN 46143
Phone: (317) 957-9050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02003257A Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 02003257A Indiana

Profile Details

NPI number 1679796775
LBN Legal business name Kiefer, Jacklyn D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Nov 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679796775 NPPES
Ohio Other P00885864 RR MEDICARE
Ohio MEDICAID 2957966 RR MEDICARE

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