Provider Demographics
NPI:1588801070
Name:KIEFFER, JOANN (OSC)
Entity Type:Individual
Prefix:MS
First Name:JOANN
Middle Name:
Last Name:KIEFFER
Suffix:
Gender:F
Credentials:OSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3390 HANCE RD
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13903-5756
Mailing Address - Country:US
Mailing Address - Phone:607-669-4891
Mailing Address - Fax:
Practice Address - Street 1:3390 HANCE RD
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13903-5756
Practice Address - Country:US
Practice Address - Phone:607-669-4891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator