Provider Demographics
NPI:1871134163
Name:KIFER, CLAIRE ANNE
Entity type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:ANNE
Last Name:KIFER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 E 29TH PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-5201
Mailing Address - Country:US
Mailing Address - Phone:918-986-2554
Mailing Address - Fax:
Practice Address - Street 1:155 E 29TH PL
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-5201
Practice Address - Country:US
Practice Address - Phone:918-986-2554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-08
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant