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General NPI Number Information
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NPI Number | 1427228063
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Entity Type | Organization
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Legal Business Name | KATHLEEN E KAUTZ M D MEDICAL CORPORATION
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 1055 PARKWAY DR STE B
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City | NATCHITOCHES
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State | LA
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Zip | 71457-6276
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Country | US
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Telephone | 318-352-7768
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Fax | 318-357-3661
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Provider Business Mailing Address
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Address Line | 1055 PARKWAY DR STE B
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City | NATCHITOCHES
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State | LA
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Zip | 71457-6276
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Country | US
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Telephone | 318-352-7768
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Fax | 318-357-3661
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | KATHLEEN E KAUTZ
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Credential | M.D.
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Telephone | 318-352-7768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 15485R
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License Number State | LA
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