Provider Demographics
NPI:1750623492
Name:HUTT KAUFMAN, LEANN MARIE
Entity type:Individual
Prefix:MRS
First Name:LEANN
Middle Name:MARIE
Last Name:HUTT KAUFMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 W 1ST AVE STE 308
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-6002
Mailing Address - Country:US
Mailing Address - Phone:509-251-6924
Mailing Address - Fax:
Practice Address - Street 1:308 W 1ST AVE STE 308
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-6002
Practice Address - Country:US
Practice Address - Phone:509-251-6924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator