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NPI Code Detail

MEDICARE: KATELYN ELYSE KAUFMAN DO

MEDICARE: KATELYN ELYSE KAUFMAN 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
1261QS1000XStudent Health Clinic/CenterOS22190FL

General Provider Information

NPI Number : 1558011577
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN ELYSE KAUFMAN DO
Provider Business Mailing Address
First Line : 1611 NW 12TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33136-1005
Country : US
Telephone Number : 305-355-1122
Fax Number :
Provider Business Practice Location Address
First Line : 1611 NW 12TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33136-1005
Country : US
Telephone Number : 305-355-1122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2022
Last Update Date : 04/02/2026

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Directions to “ KATELYN ELYSE KAUFMAN DO” Practice Location

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