Individual
DR. HENRY J KAUFMAN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
917 COOLIDGE BLVD, LAFAYETTE, LA 70503-2433
(337) 237-5774
(337) 237-4939
Mailing address
120 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 769-7779
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
200089
LA
2086X0206X
Surgical Oncology Physician
Primary
200089
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1622826
—
LA
01
—
P00380297
RAILROAD MEDICARE FILING
—
Enumeration date
05/18/2006
Last updated
09/22/2021
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