Provider Demographics
NPI:1487935946
Name:KIFER, MICHELLE EMILY (PHARMD)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:EMILY
Last Name:KIFER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10733 NW 42ND ST
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-3478
Mailing Address - Country:US
Mailing Address - Phone:405-431-9188
Mailing Address - Fax:
Practice Address - Street 1:755 RESEARCH PKWY
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-3629
Practice Address - Country:US
Practice Address - Phone:405-431-9188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-29
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK13949183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist