IndividualActive
Douglas Kaufman, PA
NPI 1164465290 · Medical Physician Assistant · Leavenworth, KS
Provider details
- NPI number
- 1164465290
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- KS00555 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4101 S 4th St
Leavenworth, KS 66048-5014
Phone: (913) 682-2000
Approximate (ZIP-level) locationGet directions
Mailing address
616 Muncie Rd
Leavenworth, KS 66048-5519
Registry dates
- Enumerated
- 2006-06-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.