Individual
MR. SCOTT E KAUFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1600 BICKETT BLVD, RALEIGH, NC 27608-2567
(919) 755-9455
Mailing address
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4407
(919) 755-9455
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
134745
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9276267
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050884
—
NC
Enumeration date
09/30/2005
Last updated
04/15/2019
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