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Individual

MCKENZIE KAUFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2470 MALL DR UNIT CND, NORTH CHARLESTON, SC 29406-6514
(800) 805-6989
Mailing address
6009 MANSFIELD BLVD, CHARLESTON, SC 29418-2056
(330) 984-8645

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
24677
SC
363LF0000X
Family Nurse Practitioner
24677
SC

Other

Enumeration date
09/28/2020
Last updated
01/03/2026
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