Individual
JAMIE MARIE KAUFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1201 N RUTHERFORD ST, MACON, MO 63552-2020
(660) 385-8900
(660) 385-8708
Mailing address
1205 N MISSOURI ST, MACON, MO 63552-2095
(660) 385-8700
(660) 385-8701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2002014388
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209151208
—
MO
Enumeration date
06/05/2006
Last updated
07/12/2013
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