Provider Demographics
NPI:1811059330
Name:KIEFER, AARON CHRISTOPHER (DC)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:CHRISTOPHER
Last Name:KIEFER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1103 GARDENIA DR
Mailing Address - Street 2:2
Mailing Address - City:WAPAKONETA
Mailing Address - State:OH
Mailing Address - Zip Code:45895-1036
Mailing Address - Country:US
Mailing Address - Phone:419-738-9888
Mailing Address - Fax:419-738-9895
Practice Address - Street 1:1103 GARDENIA DR
Practice Address - Street 2:2
Practice Address - City:WAPAKONETA
Practice Address - State:OH
Practice Address - Zip Code:45895-1036
Practice Address - Country:US
Practice Address - Phone:419-738-9888
Practice Address - Fax:419-738-9895
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4152-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor