MEDICARE: DIANE LYNN KAUFMAN

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
1	3747P1801X	Personal Care Attendant		OH

General Provider Information

NPI Number	:	1902757552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANE LYNN KAUFMAN

Provider Business Mailing Address
First Line	:	29685 CHERRYCREST DR
Second Line	:
City	:	LOGAN
State	:	OH
Zip	:	43138-8601
Country	:	US
Telephone Number	:	740-475-9994
Fax Number	:	--

Provider Business Practice Location Address
First Line	:	29685 CHERRYCREST DR
Second Line	:
City	:	LOGAN
State	:	OH
Zip	:	43138-8601
Country	:	US
Telephone Number	:	740-475-9994
Fax Number	:	--

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “ DIANE LYNN KAUFMAN ” Practice Location

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