Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 4301030391 | MI |
NPI | 1265697601 |
---|---|
Provider Name | Dr. Donald Barry Kaufman |
First Address | Haslett, MI 48840-8869 |
Second Address | Haslett, MI 48840-8869 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2008 |
Last Update Date | 24/07/2008 |