Provider Demographics
NPI:1275552242
Name:KAUFMANN, B. (LPN)
Entity Type:Individual
Prefix:
First Name:B.
Middle Name:
Last Name:KAUFMANN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 N KENSINGTON DR APT 1
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54915-2982
Mailing Address - Country:US
Mailing Address - Phone:920-954-5317
Mailing Address - Fax:
Practice Address - Street 1:521 N KENSINGTON DR APT 1
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54915-2982
Practice Address - Country:US
Practice Address - Phone:920-954-5317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI20832-031164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse