Provider Demographics
NPI:1225305485
Name:KIEFFER, LAINEY Z (ARNP)
Entity Type:Individual
Prefix:
First Name:LAINEY
Middle Name:Z
Last Name:KIEFFER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 SW 23RD AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3649
Mailing Address - Country:US
Mailing Address - Phone:305-389-4067
Mailing Address - Fax:
Practice Address - Street 1:5807 PONCE DE LEON BLVD
Practice Address - Street 2:SUITE 109
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2422
Practice Address - Country:US
Practice Address - Phone:305-284-9355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-16
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9288068363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily