Provider Demographics
NPI:1932987757
Name:KAUFFMAN, KAYLA (CNM)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:KAUFFMAN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3571 ROAD 212
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-9414
Mailing Address - Country:US
Mailing Address - Phone:307-256-2190
Mailing Address - Fax:
Practice Address - Street 1:3571 ROAD 212
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-9414
Practice Address - Country:US
Practice Address - Phone:307-256-2190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY53033367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife