Individual
MR. KENNETH WILLIAM KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
105 E LINCOLN STREET, MT MORRIS, IL 61054-1640
(815) 734-4195
Mailing address
4600 WEST JAMES STREET, MT MORRIS, IL 61054-1640
(815) 734-6668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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