Individual
KENDRA R KAUFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2750 11TH ST, ROCK ISLAND, IL 61201-5216
(563) 327-2100
(563) 327-2102
Mailing address
500 W RIVER DR, DAVENPORT, IA 52801-1014
(563) 336-3000
(563) 336-3125
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598759292
—
IL
Enumeration date
12/01/2007
Last updated
04/18/2013
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