Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | R4609 | MO |
NPI | 1013989383 |
---|---|
Provider Name | Dr. Andrew B Kaufman |
First Address | Overland Park, KS 66209-3721 |
Second Address | Overland Park, KS 66209-3721 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2006 |
Last Update Date | 15/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100001570 C | (05) | KS |
100001570A | (05) | KS |
100001570D | (05) | KS |
100001570E | (05) | KS |
100001570F | (05) | KS |
1013989383 | (05) | MO |
200785707 | (05) | MO |
C51443 | (02) | MO |