Individual provider · Type 1 NPI

Douglas A. Kaufman, PA

Medical Physician Assistant · Leavenworth, KS

NPI number 1164465290 Active

Practice location

4101 S 4th St
Leavenworth, KS 66048-5014

Mailing address

616 Muncie Rd
Leavenworth, KS 66048-5519

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XKS00555 (KS)

Medical Physician Assistant: Definition to come...

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About NPI 1164465290

Douglas A. Kaufman, PA's National Provider Identifier is 1164465290, issued on Jun 14, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Leavenworth, KS. The record was last updated on Jul 8, 2007.