Healthcare Provider Details

I. General information

NPI: 1942084462
Provider Name (Legal Business Name): CHARITY VICTORIA KAUFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2023
Last Update Date: 08/24/2023
Certification Date: 08/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 N STATE ST
YORK PA
17403-1033
US

IV. Provider business mailing address

727 N STATE ST
YORK PA
17403-1033
US

V. Phone/Fax

Practice location:
  • Phone: 717-680-1320
  • Fax:
Mailing address:
  • Phone: 717-680-1320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: