Healthcare Provider Details

I. General information

NPI: 1740224443
Provider Name (Legal Business Name): KELLY ANN KIEFFER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER DR DHMC - INTERNAL MEDICINE
LEBANON NH
03756-1000
US

IV. Provider business mailing address

1 MEDICAL CENTER DR DHMC - INTERNAL MEDICINE
LEBANON NH
03756-1000
US

V. Phone/Fax

Practice location:
  • Phone: 603-653-9500
  • Fax: 603-640-1228
Mailing address:
  • Phone: 603-653-9500
  • Fax: 603-650-0915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number10904
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: