Individual
KATHRYN LAURA KAUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5501 OLD YORK RD FL LIFTER2, PHILADELPHIA, PA 19141-3018
(215) 456-6828
(215) 456-6769
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-1825
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C7-0005282
DE
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
OS018359
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033863200004
—
PA
Enumeration date
04/09/2013
Last updated
11/16/2022
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