Provider Demographics
NPI:1699270298
Name:KAUFFMAN, SYLVIA VENEZIA (MD, MSPH)
Entity type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:VENEZIA
Last Name:KAUFFMAN
Suffix:
Gender:F
Credentials:MD, MSPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 WESTRIDGE MARKET PL
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-9174
Mailing Address - Country:US
Mailing Address - Phone:828-418-0040
Mailing Address - Fax:828-418-0041
Practice Address - Street 1:25 WESTRIDGE MARKET PL
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715-9174
Practice Address - Country:US
Practice Address - Phone:828-418-0040
Practice Address - Fax:828-418-0041
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-26
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2019-02453207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine