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NPI Code Detail

MEDICARE: MRS. KATELYN MARIE KAUFMAN APRN

MEDICARE: MRS. KATELYN MARIE KAUFMAN APRN
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
1363LP2300XPrimary Care Nurse Practitioner80751KS

General Provider Information

NPI Number : 1154151017
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATELYN MARIE KAUFMAN APRN
Provider Business Mailing Address
First Line : 2016 BRIARWOOD CT
Second Line :
City : NEWTON
State : KS
Zip : 67114-1261
Country : US
Telephone Number : 316-215-1265
Fax Number :
Provider Business Practice Location Address
First Line : 3515 W CENTRAL AVE
Second Line :
City : WICHITA
State : KS
Zip : 67203-4921
Country : US
Telephone Number : 316-755-0144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2024
Last Update Date : 08/06/2024

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