MEDICARE: DR. LARRY D KIEFT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	21392	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184627218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LARRY D KIEFT MD

Provider Business Mailing Address
First Line	:	1136 E STUART ST
Second Line	:	STE 2100
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-1197
Country	:	US
Telephone Number	:	970-493-5904
Fax Number	:	970-493-5973

Provider Business Practice Location Address
First Line	:	1136 E STUART ST
Second Line	:	STE 2100
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-1197
Country	:	US
Telephone Number	:	970-493-5904
Fax Number	:	970-493-5973

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	10/21/2011

Similar Medicare Providers

1164425286 — DR. KIMBERLY W HAYES MD
Practice Location Address:

1136 E STUART ST , STE 2100
FORT COLLINS, CO
80525-1197

Practice Phone: 970-493-5904
Practice Fax: 970-493-5973

1619058252 — WANDA K SIMMONS-PARSONNET PT
Practice Location Address:

1136 E STUART ST STE 2120
FORT COLLINS, CO
80525-1197

Practice Phone: 970-492-5161
Practice Fax: 970-682-6447

1245578970 — WANDA SIMMONS PHYSICAL THERAPY, P.C.
Practice Location Address:

1136 E STUART ST STE 2120
FORT COLLINS, CO
80525-1197

Practice Phone: 970-988-2321
Practice Fax: 970-682-6447

1962509521 — DR. WASHINGTON DARIO BAQUERO MD
Practice Location Address:

1705 COLONIAL BLVD STE C1
FORT MYERS, FL
33907-1197

Practice Phone: 239-275-4141
Practice Fax: 239-275-4879

1427235803 — TRAVIS DANIEL MILLER
Practice Location Address:

1078 HOSPITAL RD
FORT STORY, VA
23459-1197

Practice Phone: 757-422-7936
Practice Fax: 757-422-7949

1609003573 — A & G SPINAL SOLUTIONS LLC
Practice Location Address:

8695 COLLEGE PKWY , SUITE 1197
FORT MYERS, FL
33919-4890

Practice Phone: 239-985-4138
Practice Fax: 239-362-2272

Directions to “ DR. LARRY D KIEFT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.