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NPI Code Detail

MEDICARE: JAMIE MARIE KAUFFMAN DO

MEDICARE: JAMIE MARIE KAUFFMAN DO
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
1207Q00000XFamily Medicine PhysicianDO2002014388MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053350207
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE MARIE KAUFFMAN DO
Provider Business Mailing Address
First Line : 1205 N MISSOURI ST
Second Line :
City : MACON
State : MO
Zip : 63552-2095
Country : US
Telephone Number : 660-385-8700
Fax Number : 660-385-8701
Provider Business Practice Location Address
First Line : 1201 N RUTHERFORD ST
Second Line :
City : MACON
State : MO
Zip : 63552-2020
Country : US
Telephone Number : 660-385-8900
Fax Number : 660-385-8708
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 07/12/2013

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Directions to “ JAMIE MARIE KAUFFMAN DO” Practice Location

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