Individual
KRISTEN KAUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 WABASH AVE, TERRE HAUTE, IN 47803-3920
(812) 230-0265
Mailing address
5500 WABASH AVE CM 41, TERRE HAUTE, IN 47803
(812) 230-0265
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000760A
IN
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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