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Individual

KACIE DAWN KAUFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3508
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2004002306
MO
363LF0000X
Family Nurse Practitioner
45649
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
427330907
MO
Enumeration date
05/12/2006
Last updated
07/23/2015
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