Kristopher Daniel Kaufman, PT, MSPT
Individual provider Active NPI Physical Therapist · Southgate, KY
NPI 1992938567 · NPPES record last updated Nov 23, 2009
Key facts
- NPI
- 1992938567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 005128 (KY)
- Practice address
- 525 Alexandria Pike
Southgate, KY 41071 - Phone
- (859) 572-5000
- NPI assigned
- Aug 31, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005128 | KY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 005128 | KY | Yes |
Addresses
Primary practice location
525 Alexandria Pike
Southgate, KY 41071
Mailing address
2652 Turkeyfoot Road
Lakeside Park, KY 41017
Phone (859) 760-1619
Other providers in Southgate, KY
- Kassandra Nicole Hall
- Caron E Harner
- Quintin Hauser
- Nicole Huffman
- Roger Christopher Jones
- Melissa Ann Krebs
- Peggy McDannold
- Stephen F Mielech
- Sarah Milczarek
- Christina C Niemer
All providers in Southgate, KY · Physical Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.