Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | 38807 | IA |
N | 207VG0400X | Gynecologist | 5194 | NE |
Y | 207VX0000X | Obstetrician | 38807 | IA |
N | 207VX0000X | Obstetrician | 5194 | NE |
NPI | 1174743389 |
---|---|
Provider Name | Dr. Diana Kay Kaufman |
First Address | Ankeny, IA 50023-7004 |
Second Address | Ankeny, IA 50023-7004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2007 |
Last Update Date | 16/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1174743389 | (05) | IA |