Provider Demographics
NPI:1437120391
Name:KAUFMAN, KATHY M (CRNP,PHD,LPC,NCC,BSN)
Entity Type:Individual
Prefix:DR
First Name:KATHY
Middle Name:M
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:CRNP,PHD,LPC,NCC,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 N CEDAR CREST BLVD
Mailing Address - Street 2:STE. 618
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2351
Mailing Address - Country:US
Mailing Address - Phone:610-435-2420
Mailing Address - Fax:610-435-2620
Practice Address - Street 1:1040 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-1952
Practice Address - Country:US
Practice Address - Phone:610-966-5549
Practice Address - Fax:610-967-0204
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002267101YP2500X
PASP015380363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7376376OtherAETNA PROVIDER ID