Individual
MRS. KAUFMANN LESLIE KAUFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 LEE ANN LN, BRIDGEPORT, WV 26330-1080
(304) 623-3461
Mailing address
1 MEDICAL CENTER DRIVE, CLARKSBURG, WV 26330
(304) 623-3461
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601001646
MI
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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