Provider Demographics
NPI:1235837386
Name:PHIFER, KINSEY OLIVIA-MARIE
Entity Type:Individual
Prefix:
First Name:KINSEY
Middle Name:OLIVIA-MARIE
Last Name:PHIFER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1994 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ELK HORN
Mailing Address - State:IA
Mailing Address - Zip Code:51531-2110
Mailing Address - Country:US
Mailing Address - Phone:712-249-1298
Mailing Address - Fax:
Practice Address - Street 1:1994 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ELK HORN
Practice Address - State:IA
Practice Address - Zip Code:51531-2110
Practice Address - Country:US
Practice Address - Phone:712-249-1298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula