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General NPI Number Information
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NPI Number | 1952762247
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Entity Type | Organization
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Legal Business Name | DONNA S. KIEFER
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Dates
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Enumeration Date | 03/14/2016
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Last Update Date | 03/14/2016
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Provider Practice Location Address
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Address Line | 990 BARRET AVE #1
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City | LOUISVILLE
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State | KY
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Zip | 40204-2063
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Country | US
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Telephone | 502-551-8504
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Fax |
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Provider Business Mailing Address
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Address Line | 990 BARRET AVE #1
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City | LOUISVILLE
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State | KY
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Zip | 40204-2063
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Country | US
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Telephone | 502-551-8504
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MS. DONNA S. KIEFER
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Credential | OTR/L
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Telephone | 502-551-8504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | KY R2285
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License Number State | KY
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