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NPI Code Detail

MEDICARE: BENJAMIN HARRIS KAFFENBERGER MD

MEDICARE:   BENJAMIN HARRIS KAFFENBERGER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician35123455OH

General Provider Information

NPI Number : 1073833042
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN HARRIS KAFFENBERGER MD
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-293-1707
Fax Number : 614-293-1716
Provider Business Practice Location Address
First Line : 1328 DUBLIN RD STE 100
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-1054
Country : US
Telephone Number : 614-293-1707
Fax Number : 614-293-1716
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2010
Last Update Date : 02/26/2021

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Directions to “ BENJAMIN HARRIS KAFFENBERGER MD” Practice Location

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