NPI 1164465290

Douglas a Kaufman, PA

Practitioner Medical Physician Assistant Leavenworth, KS

Practice location

Address: 4101 S 4th St, Leavenworth, KS 66048-5014
Phone: (913) 682-2000
Mailing address: 616 Muncie Rd, Leavenworth, KS 66048-5519

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence KS00555 (KS)

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Registry record

NPI: 1164465290
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.