Provider Demographics
NPI:1245550607
Name:KEFFER, MIRANDA
Entity type:Individual
Prefix:MS
First Name:MIRANDA
Middle Name:
Last Name:KEFFER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 PENNSYLVANIA ST
Mailing Address - Street 2:3B
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-1364
Mailing Address - Country:US
Mailing Address - Phone:303-994-3008
Mailing Address - Fax:
Practice Address - Street 1:1620 PENNSYLVANIA ST
Practice Address - Street 2:3B
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-1364
Practice Address - Country:US
Practice Address - Phone:303-994-3008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula