Individual
HEIDI LYNN KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 PHYSICIANS DR, WILMINGTON, NC 28401-7356
(910) 341-3300
(910) 251-8824
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3300
(910) 251-8824
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
L000491
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51857
BLUE CROSS BLUE SHIELD NC
NC
01
—
L000491
NC LICENSE
NC
Enumeration date
10/01/2007
Last updated
08/08/2014
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