Kendall Jordan Kaufman
Physician Assistant in Fort Worth, TX. Individual provider (NPI-1).
NPI number1679828859
StatusActive
Last updated in NPPESFeb 7, 2013
Details
- NPI
- 1679828859
- Entity type
- Individual (NPI-1)
- Name
- Kendall Jordan Kaufman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2012
- Last updated
- Feb 7, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA07992 | TX | Yes |
Practice location
855 Montgomery StFort Worth, TX 76107-2553
Phone 817-735-2400
Mailing address
Po Box 99335Fort Worth, TX 76199-0335
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