NPI 1417139452

Kendra R Kaufman, PAC

Practitioner Medical Physician Assistant Rock Island, IL

Practice location

Address: 2750 11th St, Rock Island, IL 61201-5216
Phone: (563) 327-2100
Fax: (563) 327-2102
Mailing address: 500 W River Dr, Davenport, IA 52801-1014

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

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Registry record

NPI: 1417139452
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Dec 2007
Record last updated: 18 Apr 2013

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.