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NPI Code Detail

MEDICARE: BRIAN G KAUTH MD

MEDICARE:   BRIAN G KAUTH  MD
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
1207Q00000XFamily Medicine Physician200501082NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1040EHOTHERNCBCBS PROVIDER NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3200501082OTHERNCLICENSE - NC

General Provider Information

NPI Number : 1780797803
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN G KAUTH MD
Provider Business Mailing Address
First Line : 146 ASHFORD HOLLOW LN
Second Line :
City : MOORESVILLE
State : NC
Zip : 28117-9695
Country : US
Telephone Number : 828-256-2112
Fax Number : 828-256-2393
Provider Business Practice Location Address
First Line : 2365 SPRINGS RD NE
Second Line :
City : HICKORY
State : NC
Zip : 28601-3067
Country : US
Telephone Number : 828-256-2112
Fax Number : 828-256-2393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 03/07/2023

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Directions to “ BRIAN G KAUTH MD” Practice Location

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