Individual
BRIANNA LYNN KAUFFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1500 S AVENUE K, PORTALES, NM 88130-7400
(800) 367-3668
Mailing address
905 W 15TH ST, PORTALES, NM 88130-6770
(320) 314-2793
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/29/2021
Last updated
10/01/2023
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