Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 297013 | AR |
NPI | 1124032362 |
---|---|
Provider Name | Dr. Luke Barnes Kauffman |
First Address | Hot Springs, AR 71901-7138 |
Second Address | Hot Springs, AR 71901-7138 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 08/07/2007 |