Provider Demographics
NPI:1750968715
Name:KIEFFER, MEGAN LYNN (FNP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LYNN
Last Name:KIEFFER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 FEATHER REED LN
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-6819
Mailing Address - Country:US
Mailing Address - Phone:317-473-1445
Mailing Address - Fax:
Practice Address - Street 1:3266 N MERIDIAN ST STE 501
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46208-5857
Practice Address - Country:US
Practice Address - Phone:844-225-5687
Practice Address - Fax:317-925-0774
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28234341A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily