Individual
LEVI KAUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WATLINGTON HALL, 3RD FLOOR, WINSTON SALEM, NC 27157-0001
(336) 716-4305
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2021-01463
NC
207W00000X
Ophthalmology Physician
82087
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820874
—
SC
Enumeration date
05/21/2015
Last updated
12/01/2021
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