Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 0102204174 | VA |
N | 207KA0200X | Allergist | 0102204174 | VA |
N | 207RA0201X | Internist - Allergy & Immunology | 0102204174 | VA |
N | 207RA0201X | Internist - Allergy & Immunology | DO.000203 | LA |
N | 207RA0201X | Internist - Allergy & Immunology | NE526 | NE |
N | 2080P0201X | Pediatric Allergist | 0102204174 | VA |
NPI | 1730234832 |
---|---|
Provider Name | Dr. Karen Beth Kaufman |
First Address | Vienna, VA 22180-6517 |
Second Address | Vienna, VA 22182-3831 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 26/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
84512 | (02) |