Provider Demographics
NPI:1346224698
Name:KIEFER, COLEEN M (APRN)
Entity Type:Individual
Prefix:
First Name:COLEEN
Middle Name:M
Last Name:KIEFER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 HUEBNER ROAD
Mailing Address - Street 2:IRWIN ARMY COMMUNITY HOSPITAL
Mailing Address - City:FT RILEY
Mailing Address - State:KS
Mailing Address - Zip Code:66442-7037
Mailing Address - Country:US
Mailing Address - Phone:785-240-7678
Mailing Address - Fax:
Practice Address - Street 1:650 HUEBNER ROAD
Practice Address - Street 2:IRWIN ARMY COMMUNITY HOSPITAL
Practice Address - City:FT RILEY
Practice Address - State:KS
Practice Address - Zip Code:66442-7037
Practice Address - Country:US
Practice Address - Phone:785-240-7678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45629363LF0000X
TX608838363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily