Provider Demographics
NPI:1578586574
Name:KIEFER, KAREN SPENSER (DO)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:SPENSER
Last Name:KIEFER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1715 LEANING PINE DR
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-2738
Mailing Address - Country:US
Mailing Address - Phone:909-261-4123
Mailing Address - Fax:909-367-2922
Practice Address - Street 1:1715 LEANING PINE DR
Practice Address - Street 2:
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-2738
Practice Address - Country:US
Practice Address - Phone:909-261-4123
Practice Address - Fax:909-367-2922
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A50602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry