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General NPI Number Information
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NPI Number | 1790247641
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Entity Type | Individual
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Provider Name | ARIA KIEFT MD
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Gender | Female
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Dates
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Enumeration Date | 04/01/2019
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 3180 E MIDLAND RD
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City | BAY CITY
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State | MI
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Zip | 48706-2755
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Country | US
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Telephone | 989-667-6670
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Fax |
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Provider Business Mailing Address
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Address Line | 4100 BEECHER RD STE A
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City | FLINT
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State | MI
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Zip | 48532-3661
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Country | US
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Telephone | 810-342-3813
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Fax | 734-655-2911
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 4301511748
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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