Provider Demographics
NPI:1104623669
Name:KIEFER, LOUIS JAMES
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:JAMES
Last Name:KIEFER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1777 COUNTY ROAD 23
Mailing Address - Street 2:
Mailing Address - City:NICKERSON
Mailing Address - State:NE
Mailing Address - Zip Code:68044-1715
Mailing Address - Country:US
Mailing Address - Phone:402-672-0673
Mailing Address - Fax:
Practice Address - Street 1:1973 MORNINGSIDE RD APT 119
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-8937
Practice Address - Country:US
Practice Address - Phone:402-816-4060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE770534104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker