MEDICARE: DR. ANDREW DAVID KIEFERT D.C.

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	111N00000X	Chiropractor	4034012	WI

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	:	1477620045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW DAVID KIEFERT D.C.

Provider Business Mailing Address
First Line	:	3221 VOYAGER DR
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54311-8349
Country	:	US
Telephone Number	:	920-664-0047
Fax Number	:	920-908-8476

Provider Business Practice Location Address
First Line	:	3221 VOYAGER DR
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54311-8349
Country	:	US
Telephone Number	:	920-664-0047
Fax Number	:	920-908-8476

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

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	08/25/2009

Similar Medicare Providers

1639340995 — MRS. BARBARA LYNN BOUCHER NP
Practice Location Address:

3237 VOYAGER DR
GREEN BAY, WI
54311-8349

Practice Phone: 920-468-8288
Practice Fax:

1447483417 — BALANCE CHIROPRACTIC OF GREEN BAY, LLC
Practice Location Address:

3221 VOYAGER DR
GREEN BAY, WI
54311-8349

Practice Phone: 920-664-0047
Practice Fax: 920-965-1059

1003169376 — MARY C FOX FNP
Practice Location Address:

3237 VOYAGER DR
GREEN BAY, WI
54311-8349

Practice Phone: 920-468-8288
Practice Fax:

1679032148 — STEFFANY MARIE DI BIASE
Practice Location Address:

3237 VOYAGER DR
GREEN BAY, WI
54311-8349

Practice Phone: 920-468-8288
Practice Fax:

1962030890 — LORYN SHEAHAN
Practice Location Address:

3237 VOYAGER DR
GREEN BAY, WI
54311-8349

Practice Phone: 920-468-8288
Practice Fax:

1669047874 — SHIVAM 2 HOLDINGS LLC
Practice Location Address:

3221 VOYAGER DR
GREEN BAY, WI
54311-8349

Practice Phone: 920-256-0392
Practice Fax:

Directions to “ DR. ANDREW DAVID KIEFERT D.C.” 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.