Provider Demographics
NPI:1780109686
Name:GIEFER, KRISTEN (DO)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:GIEFER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 MEDICAL CENTER DR STE 120
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67114-9016
Mailing Address - Country:US
Mailing Address - Phone:316-283-4153
Mailing Address - Fax:
Practice Address - Street 1:700 MEDICAL CENTER DR STE 120
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-9016
Practice Address - Country:US
Practice Address - Phone:316-283-4153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-11
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS94-09412207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology