Provider Demographics
NPI:1932237021
Name:KAUFFMAN P C
Entity Type:Organization
Organization Name:KAUFFMAN P C
Other - Org Name:HEATHER R. KAUFFMAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:R
Authorized Official - Last Name:KAUFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:307-632-5901
Mailing Address - Street 1:1600 CONVERSE AVE
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-5304
Mailing Address - Country:US
Mailing Address - Phone:307-632-5901
Mailing Address - Fax:307-632-4280
Practice Address - Street 1:1600 CONVERSE AVE
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-5304
Practice Address - Country:US
Practice Address - Phone:307-632-5901
Practice Address - Fax:307-632-4280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY554111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WYW9419Medicare ID - Type Unspecified