Provider Demographics
NPI:1417590266
Name:KAUFFMAN, NKEMKA (BS)
Entity Type:Individual
Prefix:
First Name:NKEMKA
Middle Name:
Last Name:KAUFFMAN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:
Other - Last Name:SELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1929 LINCOLN HWY E STE 150
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-3685
Mailing Address - Country:US
Mailing Address - Phone:717-397-7625
Mailing Address - Fax:717-397-6057
Practice Address - Street 1:1929 LINCOLN HWY E STE 150
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-3685
Practice Address - Country:US
Practice Address - Phone:717-397-7625
Practice Address - Fax:717-397-6057
Is Sole Proprietor?:No
Enumeration Date:2019-10-24
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator