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NPI Code Detail

MEDICARE: DWIGHT KAUFMAN MD

MEDICARE: DWIGHT KAUFMAN MD
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
1207RX0202XMedical Oncology PhysicianMD26550TN

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 : 1457328692
Entity Type Code : Individual
Provider Name (Legal Business Name) : DWIGHT KAUFMAN MD
Provider Business Mailing Address
First Line : PO BOX 400
Second Line :
City : JACKSON
State : TN
Zip : 38302-0400
Country : US
Telephone Number : 731-423-8697
Fax Number : 731-422-5743
Provider Business Practice Location Address
First Line : 720 W FOREST AVENUE
Second Line :
City : JACKSON
State : TN
Zip : 38301-3902
Country : US
Telephone Number : 731-541-9561
Fax Number : 731-541-1829
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 01/24/2017

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Directions to “ DWIGHT KAUFMAN MD” Practice Location

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