Provider Demographics
NPI:1023046661
Name:KAUFFMANN, CHRISTOPHER M (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:M
Last Name:KAUFFMANN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1169 EASTERN PKWY
Mailing Address - Street 2:SUITE G 71
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40217-1417
Mailing Address - Country:US
Mailing Address - Phone:502-456-6217
Mailing Address - Fax:502-456-4440
Practice Address - Street 1:4000 KRESGE WAY
Practice Address - Street 2:PATHOLOGY DEPT
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4605
Practice Address - Country:US
Practice Address - Phone:502-897-8226
Practice Address - Fax:502-897-8215
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2011-09-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY20261207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100372060AOtherMEDICAID INDIANA
KY000000062183OtherANTHEM BL CROSS BL SHIELD
KY104509OtherHEALTH PARTNERS
FL124519600OtherWORKERS COMP FLORIDA
OH31155000400OtherWORKERS COMP OHIO
KY1100181OtherUNITED HEALTHCARE
KY220020762OtherRAILROAD MEDICARE
KY64202617Medicaid
KY6314686OtherCIGNA HEALTHCARE
KY1049931OtherMEDICAID PASSPORT
KY2432720000OtherPASSPORT ADVANTAGE
KY0399401Medicare PIN
KY104509OtherHEALTH PARTNERS