Kautzman, Michele

Kautzman, Michele is an sole proprietor health care provider with primary practice located at 441 Wall Blvd , Gretna LA 70056-7723. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Kautzman, Michele can be contacted via phone (504) 361-9800.

Contact Information

Primary practice address
441 Wall Blvd Gretna LA 70056-7723
Phone: (504) 361-9800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.205176 Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2007-00351 North Carolina
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X MD205176 Louisiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD.205176 Louisiana

Profile Details

NPI number 1932320983
LBN Legal business name Kautzman, Michele
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Oct 15th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932320983 NPPES
Louisiana MEDICAID 2183621

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