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NPI Code Detail

MEDICARE: DR. KATHLEEN MONTLOUIS

MEDICARE:  DR. KATHLEEN  MONTLOUIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist048674GA
2207V00000XObstetrics & Gynecology Physician80421AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275673105
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHLEEN MONTLOUIS
Provider Business Mailing Address
First Line : 900 1ST ST STE A
Second Line :
City : MACON
State : GA
Zip : 31201-6806
Country : US
Telephone Number : 478-743-4030
Fax Number : 478-743-4032
Provider Business Practice Location Address
First Line : 900 1ST ST STE A
Second Line :
City : MACON
State : GA
Zip : 31201-6806
Country : US
Telephone Number : 478-743-4030
Fax Number : 478-743-4032
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 04/09/2026

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Directions to “ DR. KATHLEEN MONTLOUIS ” Practice Location

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