MEDICARE: SIDNEY KIEFABER

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	104100000X	Social Worker	I.2507440	OH

General Provider Information

NPI Number	:	1255070561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIDNEY KIEFABER

Provider Business Mailing Address
First Line	:	1020 SYMMES RD
Second Line	:
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-1844
Country	:	US
Telephone Number	:	513-896-8300
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 BURNET AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-636-0800
Fax Number	:	513-803-0823

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

Provider Enumeration Date	:	06/03/2022
Last Update Date	:	02/13/2026

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Directions to “ SIDNEY KIEFABER ” Practice Location

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