Provider Demographics
NPI:1881873271
Name:KAUFFMAN, RYAN MATTHEW (MD)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:MATTHEW
Last Name:KAUFFMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:80 LACY ST NW
Mailing Address - Street 2:NORTHWEST ENT AND ALLERGY CENTER
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060
Mailing Address - Country:US
Mailing Address - Phone:770-427-0368
Mailing Address - Fax:678-581-5969
Practice Address - Street 1:80 LACY ST NW
Practice Address - Street 2:NORTHWEST ENT AND ALLERGY CENTER
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060
Practice Address - Country:US
Practice Address - Phone:770-427-0368
Practice Address - Fax:678-581-5969
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-01
Last Update Date:2013-04-29
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Provider Licenses
StateLicense IDTaxonomies
GA062373207Y00000X
GA62373207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology