Provider Demographics
NPI:1437793031
Name:KIEFER, ANNA M (REGISTERED DIETITIAN)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:M
Last Name:KIEFER
Suffix:
Gender:F
Credentials:REGISTERED DIETITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 TULANE AVENUE
Mailing Address - Street 2:HC48
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112
Mailing Address - Country:US
Mailing Address - Phone:504-988-1500
Mailing Address - Fax:504-988-7540
Practice Address - Street 1:1415 TULANE AVENUE
Practice Address - Street 2:HC48
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112
Practice Address - Country:US
Practice Address - Phone:504-988-1500
Practice Address - Fax:504-988-7540
Is Sole Proprietor?:No
Enumeration Date:2019-11-06
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK152557133V00000X
LA2923133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered