Provider Demographics
NPI:1497736391
Name:KAUFMANN, KEVIN J (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:J
Last Name:KAUFMANN
Suffix:
Gender:M
Credentials:MD PHD
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Mailing Address - Street 1:PO BOX 251
Mailing Address - Street 2:55 TRAPELO RD
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478
Mailing Address - Country:US
Mailing Address - Phone:617-484-0900
Mailing Address - Fax:617-484-0971
Practice Address - Street 1:44 WASHINGTON ST
Practice Address - Street 2:SUITE 103
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7130
Practice Address - Country:US
Practice Address - Phone:617-484-0900
Practice Address - Fax:617-484-0971
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2022-03-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA55831207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ05976OtherBCBS MA
MA3035735Medicaid
MA055831OtherTUFTS HEALTH PLAN
MA3035735Medicaid
MAJ05976Medicare ID - Type Unspecified