Healthcare Provider Details

I. General information

NPI: 1750517595
Provider Name (Legal Business Name): KRISTEN KAUFMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2009
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

2510 BONNIE GLEN RD
MEDINA OH
44256-8744
US

V. Phone/Fax

Practice location:
  • Phone: 330-607-7246
  • Fax:
Mailing address:
  • Phone: 330-607-7246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35.126694
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: