Provider Demographics
NPI:1427337310
Name:KAUFFMAN, ASHLEY ELIZABETH (DC)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:ELIZABETH
Last Name:KAUFFMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 COLUMBUS ST STE 1
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-3407
Mailing Address - Country:US
Mailing Address - Phone:605-716-0646
Mailing Address - Fax:605-716-0645
Practice Address - Street 1:807 COLUMBUS ST STE 1
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-3407
Practice Address - Country:US
Practice Address - Phone:605-716-0646
Practice Address - Fax:605-716-0645
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-09
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6682111N00000X
SD1237111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor