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NPI Code Detail

MEDICARE: SUE E KAUFFMAN L.AC.

MEDICARE: SUE E KAUFFMAN L.AC.
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
1171100000XAcupuncturistKO000662PA

General Provider Information

NPI Number : 1679135537
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUE E KAUFFMAN L.AC.
Provider Business Mailing Address
First Line : 1345 YARMOUTH LN
Second Line :
City : NEW CUMBERLAND
State : PA
Zip : 17070-3203
Country : US
Telephone Number : 253-347-3202
Fax Number :
Provider Business Practice Location Address
First Line : 2400 PARK DR STE 103
Second Line :
City : HARRISBURG
State : PA
Zip : 17110-9304
Country : US
Telephone Number : 717-635-8749
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2019
Last Update Date : 07/01/2019

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Directions to “ SUE E KAUFFMAN L.AC.” Practice Location

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