Basic Information
Provider Information
NPI: 1699970376
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAUFMAN
FirstName: LAURA
MiddleName: E
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8717 W 110TH ST
Address2: SUITE 600
City: OVERLAND PARK
State: KS
PostalCode: 662102144
CountryCode: US
TelephoneNumber: 9134282900
FaxNumber: 9134282951
Practice Location
Address1: 5721 W 119TH ST
Address2:  
City: OVERLAND PARK
State: KS
PostalCode: 662093722
CountryCode: US
TelephoneNumber: 9134987307
FaxNumber: 9134282951
Other Information
ProviderEnumerationDate: 06/20/2007
LastUpdateDate: 09/20/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X66708GAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X04-36039KSY Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X2016029201MON Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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