Healthcare Provider Details

I. General information

NPI: 1033352943
Provider Name (Legal Business Name): LORI R KIEFER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LORI WHEELER

II. Dates (important events)

Enumeration Date: 04/08/2009
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6920 GATWICK DR STE 220
INDIANAPOLIS IN
46241-9504
US

IV. Provider business mailing address

13225 N MERIDIAN ST
CARMEL IN
46032-5480
US

V. Phone/Fax

Practice location:
  • Phone: 317-463-9950
  • Fax: 317-893-1208
Mailing address:
  • Phone: 317-228-7000
  • Fax: 317-893-1208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number01072294A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number01072294A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: