Kaufman, Kendra R
Kaufman, Kendra R is an sole proprietor health care provider with primary practice located at 2750 11Th St , Rock Island IL 61201-5216. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Kaufman, Kendra R can be contacted via phone (563) 327-2100.Contact Information
Primary practice address
2750 11Th St
Rock Island IL 61201-5216
Phone: (563) 327-2100
Fax: (563) 327-2102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1417139452 |
|---|---|
| LBN Legal business name | Kaufman, Kendra R |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2007 |
| Last updated | Apr 18th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417139452 | NPPES |
| Illinois | MEDICAID | 1598759292 |
Popular Providers
-
Park, Daniel
1441 Eastlake Ave Ste 7416, Los Angeles CA 90089-2211 -
Kauppi, Jeffrey D
200 Creekside Dr , Dickson TN 37055-2176 -
Baldwin, Jonathan E
2701 17Th St , Rock Island IL 61201-5351 -
Costello, Daniel G
1526 Cole Blvd Ste 300 , Lakewood CO 80401-3410 -
Stewart, Susan S
Maui Medical Group 2180 Main Street, Wailuku HI 96793 -
Engle, Jocelyn J
30 Community Dr , Easton PA 18045-2658 -
Seeds, Angela Marie
710 Sunset Dr Ste F , La Grande OR 97850 -
Young, Sharon Ann
7018 Blair Rd , Calipatria CA 92233-9633