Provider Demographics
NPI:1063781227
Name:KIEFFER, SARAH E (MSN CNP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:E
Last Name:KIEFFER
Suffix:
Gender:F
Credentials:MSN CNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:E
Other - Last Name:LANICCA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN CNP
Mailing Address - Street 1:4040 SPANISH BAY DR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-2324
Mailing Address - Country:US
Mailing Address - Phone:513-284-3289
Mailing Address - Fax:
Practice Address - Street 1:2401 E ST NW STE L209
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20226-9709
Practice Address - Country:US
Practice Address - Phone:202-235-7475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-16
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNP500010102207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty