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NPI Code Detail

MEDICARE: BRENDA J KAUFMAN-NELSON

MEDICARE:   BRENDA J KAUFMAN-NELSON
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
1225100000XPhysical TherapistPT11381CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10PT113810OTHERCABLUE SHIELD
20PT11381OTHERCABLUE CROSS

General Provider Information

NPI Number : 1336152131
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA J KAUFMAN-NELSON
Provider Business Mailing Address
First Line : 1579 SANCHEZ ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94131-2329
Country : US
Telephone Number : 415-821-4148
Fax Number : 415-821-4004
Provider Business Practice Location Address
First Line : 1579 SANCHEZ ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94131-2329
Country : US
Telephone Number : 415-821-4148
Fax Number : 415-821-4004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 04/03/2008

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Directions to “ BRENDA J KAUFMAN-NELSON ” Practice Location

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