Individual
SCOTT KAUFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(606) 669-2677
Mailing address
2081 CLARK STATION RD, FISHERVILLE, KY 40023-8720
(502) 741-3221
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
TC377
KY
363A00000X
Physician Assistant
Primary
TC377
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2023
Last updated
06/06/2023
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