Provider Demographics
NPI:1508289760
Name:KIEFER, JOHN EDWARD III (DVM)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:EDWARD
Last Name:KIEFER
Suffix:III
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 PARK ST SE
Mailing Address - Street 2:VETERINARY SURGICAL CENTERS
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4627
Mailing Address - Country:US
Mailing Address - Phone:703-242-6000
Mailing Address - Fax:
Practice Address - Street 1:140 PARK ST SE
Practice Address - Street 2:VETERINARY SURGICAL CENTERS
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4627
Practice Address - Country:US
Practice Address - Phone:703-242-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-23
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0301202881174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian