Individual
MARLA VIOLA KAUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
700 MEDICAL CENTER DRIVE, SUITE 150, NEWTON, KS 67114-0915
(316) 283-7100
(316) 283-7118
Mailing address
PO BOX 725, NEWTON, KS 67114-0725
(316) 283-3627
(316) 283-3635
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-75153-062
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366429276
TRIWEST/TRICARE
—
01
—
1407859119
BLUE CROSS BLUE SHIELD
KS
05
—
200686850A
—
KS
01
—
209601
HEALTH PARTNERS OF KANSAS
KS
Enumeration date
12/30/2005
Last updated
08/21/2019
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