Provider Demographics
NPI:1578875456
Name:KAUFFMAN, JOANNA CHANDRA SALMON (MD)
Entity Type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:CHANDRA SALMON
Last Name:KAUFFMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JOANNA
Other - Middle Name:CHANDRA
Other - Last Name:SALMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 636930
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6930
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:204 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:OH
Practice Address - Zip Code:45817-1284
Practice Address - Country:US
Practice Address - Phone:419-996-5002
Practice Address - Fax:419-996-5001
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116022974207Q00000X
OH35.123229207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine