| Kathleen E Kautz M D Medical Corporation | |
|
1029 Keyser Ave Ste A Natchitoches LA 71457-6215 | |
| (318) 352-7768 | |
| (318) 357-3661 |
| Full Name | Kathleen E Kautz M D Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1029 Keyser Ave Ste A, Natchitoches, Louisiana |
| Authorized Official Name and Position | Kathleen E Kautz (PRESIDENT/OWNER) |
| Authorized Official Contact | 3183527768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen E Kautz M D Medical Corporation 1029 Keyser Ave Ste A Natchitoches LA 71457-6215 Ph: (318) 352-7768 | Kathleen E Kautz M D Medical Corporation 1029 Keyser Ave Ste A Natchitoches LA 71457-6215 Ph: (318) 352-7768 |
| NPI Number | 1427228063 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 08/05/2022 |
| Medicare PECOS PAC ID | 4284696576 |
|---|---|
| Medicare Enrollment ID | O20041029000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427228063 | NPI | - | NPPES |
| 1471704 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 15485R (Louisiana) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Kathleen E Kautz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215034103 PECOS PAC ID: 8628042389 Enrollment ID: I20041029000093 |
| Provider Name | Amber M Savell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063883601 PECOS PAC ID: 6002104353 Enrollment ID: I20161019001778 |
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