Provider Demographics
NPI:1215490388
Name:KIEFER, TAUNYA ANN (MD)
Entity type:Individual
Prefix:
First Name:TAUNYA
Middle Name:ANN
Last Name:KIEFER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TAUNYA
Other - Middle Name:ANN
Other - Last Name:DEETER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:425 UNIVERSITY BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-1058
Mailing Address - Country:US
Mailing Address - Phone:512-509-0200
Mailing Address - Fax:
Practice Address - Street 1:595 CHAPEL HILLS DR STE 325
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-1061
Practice Address - Country:US
Practice Address - Phone:719-364-4141
Practice Address - Fax:719-364-4140
Is Sole Proprietor?:No
Enumeration Date:2019-04-07
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CODR.0069338207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program