Provider Demographics
NPI:1952459281
Name:KAUFMAN, FRANK JOSEPH (DMD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JOSEPH
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 BROADWAY ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001-2500
Mailing Address - Country:US
Mailing Address - Phone:270-442-4710
Mailing Address - Fax:
Practice Address - Street 1:1401 BROADWAY ST
Practice Address - Street 2:SUITE 4
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-2500
Practice Address - Country:US
Practice Address - Phone:270-442-4710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY50891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice