Individual
JUSTIN WAYNE KAUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, ACNPC-AG, APRN
Contact information
Practice address
613 23RD ST STE G10, ASHLAND, KY 41101-2886
(606) 408-5864
(606) 408-6499
Mailing address
1428 TOWNSHIP ROAD 97, WILLOW WOOD, OH 45696-8904
(740) 361-8220
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
120808
WV
363LA2100X
Acute Care Nurse Practitioner
Primary
4046715
KY
Other
Enumeration date
09/09/2024
Last updated
11/05/2025
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