Provider Demographics
NPI:1063643518
Name:KAUFMAN, JENNIFER SANDRA (MD)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:SANDRA
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10 NORTH STREET
Mailing Address - Street 2:LITTLE CITY FAMILY PRACTICE
Mailing Address - City:VERGENNES
Mailing Address - State:VT
Mailing Address - Zip Code:05491
Mailing Address - Country:US
Mailing Address - Phone:802-877-3466
Mailing Address - Fax:802-877-1188
Practice Address - Street 1:10 NORTH STREET
Practice Address - Street 2:LCFP
Practice Address - City:VERGENNES
Practice Address - State:VT
Practice Address - Zip Code:05491
Practice Address - Country:US
Practice Address - Phone:802-877-3466
Practice Address - Fax:802-388-8899
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-31
Last Update Date:2015-01-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VT0600003776207Q00000X
VT0420012480207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine