Individual
KATELYN ELYSE KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 355-1122
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 355-1122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS22190
FL
261QS1000X
Student Health Clinic/Center
Primary
OS22190
FL
Other
Enumeration date
03/24/2022
Last updated
04/02/2026
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