Jennifer Kaufman, Arnp, Pllc | |
625 6th St Clarkston WA 99403-2010 | |
(509) 758-2200 | |
Not Available |
Full Name | Jennifer Kaufman, Arnp, Pllc |
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Speciality | Clinic/Center |
Location | 625 6th St, Clarkston, Washington |
Authorized Official Name and Position | Michelle Marie Hastings (OFFICE MANAGER) |
Authorized Official Contact | 5097582200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jennifer Kaufman, Arnp, Pllc 625 6th St Clarkston WA 99403-2010 Ph: (509) 758-2200 | Jennifer Kaufman, Arnp, Pllc 625 6th St Clarkston WA 99403-2010 Ph: (509) 758-2200 |
NPI Number | 1457778045 |
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Provider Enumeration Date | 03/21/2014 |
Last Update Date | 01/09/2024 |
Medicare PECOS PAC ID | 6507080470 |
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Medicare Enrollment ID | O20140616001117 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457778045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 603381941 (Washington) | Primary |
Provider Name | Murray I Larsen |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1568451102 PECOS PAC ID: 4486629573 Enrollment ID: I20041013000416 |
Provider Name | Jennifer A Kaufman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750405767 PECOS PAC ID: 8921192170 Enrollment ID: I20140813002221 |
Provider Name | Chelsy Sheppard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568059681 PECOS PAC ID: 5092120808 Enrollment ID: I20210208002751 |
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