Individual
PAUL R. KAFFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
6100 S LOUISE AVE STE 1120, SIOUX FALLS, SD 57108-6021
(605) 504-1700
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP000478
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0125073
MEDICA
SD
05
—
0545186
—
IA
05
—
070107000
—
MN
01
—
2444134
ARAZ/ AMERICA'S PPO
SD
01
—
251572
MIDLANDS CHOICE
SD
01
—
370624200
DEPT OF LABOR
SD
05
—
46022474335
—
NE
01
—
4993678
BLUE CROSS
SD
01
—
500L7KA
CC SYSTEMS/ BLUE PLUS
MN
01
—
57105F018
WPS TRICARE
SD
01
—
769201048412
PREFERRED ONE
SD
01
—
9240659
DAKOTACARE
SD
01
—
92411422901
PRIMEWEST
MN
01
—
CP000478
CNP LICENSE
SD
01
—
HP71462
HEALTHPARTNERS
SD
01
—
P00446747
RR MEDICARE
SD
01
—
R027066
RN LICENSE
SD
Enumeration date
09/21/2006
Last updated
10/31/2019
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