Provider Demographics
NPI:1144471913
Name:KEFFELER, SARAH LEOLA (LMP)
Entity type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:LEOLA
Last Name:KEFFELER
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 ORONDO AVE
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-2701
Mailing Address - Country:US
Mailing Address - Phone:509-663-8861
Mailing Address - Fax:
Practice Address - Street 1:711 ORONDO AVE
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2701
Practice Address - Country:US
Practice Address - Phone:509-663-8861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA20439174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist