Individual
KEVIN P KAUFHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52500 FIR RD, GRANGER, IN 46530-8579
(574) 271-0700
(574) 273-5648
Mailing address
52500 FIR RD, GRANGER, IN 46530-8579
(574) 271-0700
(574) 273-5648
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11013360
IN
Other
Enumeration date
04/10/2007
Last updated
08/03/2016
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