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Individual

KATHRYN BEVERLY KAUFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, PA-C

Contact information

Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 997-3000
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(310) 429-5545

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86050504
CA
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
09/15/2016
Last updated
01/10/2024
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