Provider Demographics
NPI:1366429276
Name:KAUFFMAN, MARLA VIOLA (ARNP)
Entity type:Individual
Prefix:
First Name:MARLA
Middle Name:VIOLA
Last Name:KAUFFMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 725
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67114-0725
Mailing Address - Country:US
Mailing Address - Phone:316-283-3627
Mailing Address - Fax:316-283-3635
Practice Address - Street 1:700 MEDICAL CENTER DRIVE
Practice Address - Street 2:SUITE 150
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-0915
Practice Address - Country:US
Practice Address - Phone:316-283-7100
Practice Address - Fax:316-283-7118
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2019-08-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS53-75153-062363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
1366429276OtherTRIWEST/TRICARE
KS209601OtherHEALTH PARTNERS OF KANSAS
KS200686850AMedicaid
KS1407859119OtherBLUE CROSS BLUE SHIELD