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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEREJE A KIFLE

Active Sole Proprietor

DEREJE A KIFLE is a Van Provider healthcare provider located in EGLIN AFB, Florida. NPI 1184254112 is currently active in the NPPES registry. Verify at CMS.

Van Provider · EGLIN AFB, FL

Registration Details

NPI Number
1184254112
Provider Type
Individual
Gender
Male
NPI Issued
Jan 17, 2020 (6.5691606973479 yrs)
Last Updated
Jan 17, 2020
License
3600100766098 (FL)
Sole Proprietor
Yes

Practice Information

Address
1249 MAPLE DR
EGLIN AFB, FL, 325421446
Browse FL providers · Browse ZIP 32542
Phone
8508143998
Primary Specialty
Van Provider
344600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.