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Katelyn Elyse Kaufman

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as KATELYN KAUFMAN.

Based on the most recent information from CMS, provider Katelyn Elyse Kaufman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1558011577
Provider Type
Individual
Full Name
Kaufman, Katelyn Elyse
Credential
DO

Gender
Female
Sole Proprietor
No
Enumeration Date
3/24/2022
Last Updated
5/1/2025

Contact Information

Practice Location

1400 NW 12th Ave, Miami, FL 33136-1003

(954) 938-3359

Unlisted Fax

Mailing Location

1400 NW 12th Ave, Miami, FL 33136-1003

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 22190 Florida
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Katelyn Elyse Kaufman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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