| NPI | 1669041133 |
|---|---|
| Other Name | KATIE LYNN BAILEY KIEFFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 1185355) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CO 86096825) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-06-21 |