OLIVIA KIEFFER PA-C NPI 1134901671

NPI Information

  • NPI: 1134901671
  • Provider Name: OLIVIA KIEFFER, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6828 E BROWN RD STE 102
    MESA, AZ
    ZIP 85207
  • Phone: (602) 755-0800

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NPI Details

Olivia Kieffer, PA-C is a medical physician assistant in Mesa, AZ with 2 years of experience. Olivia Kieffer, PA-C NPI is 1134901671. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduation Year:2023

The provider's business location address is:

6828 E BROWN RD STE 102
MESA, AZ
ZIP 85207-761
Phone: (602) 755-0800
Fax: (602) 560-2721

The NPI 1134901671 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/18/2023 and was last updated on 10/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical10570ARIZONAYes
2363A00000XPhysician AssistantPA.PA.61484555WASHINGTONNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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