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NPI Code Detail

MEDICARE: KYLE R KIFER

MEDICARE: KYLE R KIFER
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
1175T00000XPeer SpecialistNM

General Provider Information

NPI Number : 1568396943
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE R KIFER
Provider Business Mailing Address
First Line : 2937 SANTA MONICA AVE SE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87106-2962
Country : US
Telephone Number : 505-523-4064
Fax Number :
Provider Business Practice Location Address
First Line : 2600 MARBLE AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87106-2058
Country : US
Telephone Number : 505-523-4064
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “ KYLE R KIFER ” Practice Location

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