Individual
KRISTINA SUE KAUFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2434 LAKE AVE, FORT WAYNE, IN 46805-5406
(260) 423-2675
(260) 423-6621
Mailing address
201 S. ASH, BUFFALO, MO 65622
(417) 345-6100
(417) 345-6866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11012845
IN
Other
Enumeration date
08/11/2006
Last updated
05/20/2011
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