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Individual

DR. DAVID K KAFFENBERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4881 SUGAR MAPLE DR, WRIGHT PAT, OH 45433-5546
(937) 257-2799
Mailing address
4881 SUGAR MAPLE DR, WRIGHT PAT, OH 45433-5546
(937) 257-2799

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34003707
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050061809
RAILROAD MEDICARE
OH
05
0694691
OH
01
D00000003708
ANTHEM
OH
Enumeration date
08/22/2006
Last updated
08/10/2007
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