Basic Information
| Provider Information | |||||||||
| NPI: | 1942259551 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WM F KIEFER & ASSOCIATES INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4305 BUTLER HILL RD | ||||||||
| Address2: | |||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631283717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3144874744 | ||||||||
| FaxNumber: | 3148455956 | ||||||||
| Practice Location | |||||||||
| Address1: | 4305 BUTLER HILL RD | ||||||||
| Address2: | |||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631283717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3144874744 | ||||||||
| FaxNumber: | 3148455956 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/09/2006 | ||||||||
| LastUpdateDate: | 01/31/2008 | ||||||||
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| AuthorizedOfficialLastName: | KIEFER | ||||||||
| AuthorizedOfficialFirstName: | WILLIAM | ||||||||
| AuthorizedOfficialMiddleName: | F | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3144874744 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | JR. | ||||||||
| AuthorizedOfficialCredential: | O.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | T02269 | MO | Y | 193400000X SINGLE SPECIALTY GROUP | Eye and Vision Services Providers | Optometrist |
No ID Information.