Individual
CAROL JUNE KAUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6021 KENTUCKY AVENUE, INDIANAPOLIS, IN 46221
(317) 856-5565
(317) 856-1202
Mailing address
6021 KENTUCKY AVENUE, INDIANAPOLIS, IN 46221
(317) 856-5565
(317) 856-1202
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001529
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000386020
BLUE CROSS BLUE SHIELD
IN
Enumeration date
10/19/2006
Last updated
07/08/2007
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