Individual
MISS ABBY IMELDA KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC/LAT
Contact information
Practice address
820 E GRANT ST, APPLETON, WI 54911-3483
(920) 831-5050
Mailing address
820 E GRANT ST, APPLETON, WI 54911-3483
(920) 831-5050
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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