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Individual

JANICE K KAUFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
3100 MACCORKLE AVE, SUITE 709, CHARLESTON, WV 25304-1223
(304) 342-1184
(304) 343-8487
Mailing address
CAMC OUTPATIENT CLINICS, 3200 MACCORKLE AVENUE SE, CHARLESTON, WV 25304
(304) 388-5590
(304) 388-8238

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
29072
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7105184000
WV
Enumeration date
02/21/2006
Last updated
02/04/2016
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