Provider Demographics
NPI:1932354495
Name:KAUFMANN, KRISTINA RAE (NP)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:RAE
Last Name:KAUFMANN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1 SEAGATE
Mailing Address - Street 2:#800
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1558
Mailing Address - Country:US
Mailing Address - Phone:567-585-1983
Mailing Address - Fax:419-824-7359
Practice Address - Street 1:2121 HUGHES DR
Practice Address - Street 2:SUITE 980
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3845
Practice Address - Country:US
Practice Address - Phone:419-291-2345
Practice Address - Fax:419-291-2249
Is Sole Proprietor?:No
Enumeration Date:2008-11-25
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.10711-NP363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics