Individual
JAISA KAUFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
920 STANTON L YOUNG BLVD # WP3150, OKLAHOMA CITY, OK 73104-5036
(405) 271-6900
Mailing address
920 STANTON L YOUNG BLVD # WP3150, OKLAHOMA CITY, OK 73104-5036
(405) 271-6900
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
39500
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/03/2021
Last updated
06/13/2022
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