Healthcare Provider Details

I. General information

NPI: 1548190614
Provider Name (Legal Business Name): JOSHUA KAUTTER NRP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 RHODES AVE
KINSTON NC
28501-3820
US

IV. Provider business mailing address

2163 FOX RUN DR
KINSTON NC
28504-1980
US

V. Phone/Fax

Practice location:
  • Phone: 252-559-1911
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberP514246
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: