Healthcare Provider Details

I. General information

NPI: 1730036757
Provider Name (Legal Business Name): JENNIFER KIFER RDHAP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3958 ROBINSON AVE
CLOVIS CA
93619-5256
US

IV. Provider business mailing address

3958 ROBINSON AVE
CLOVIS CA
93619-5256
US

V. Phone/Fax

Practice location:
  • Phone: 559-349-5080
  • Fax:
Mailing address:
  • Phone: 559-349-5080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number27036
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: