Kautzmann, Derek Karl

Kautzmann, Derek Karl is an individual health care provider with primary practice located at 6350 Glenway Ave Suite 415, Cincinnati OH 45211-6378. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Kautzmann, Derek Karl can be contacted via phone (513) 347-9999.

Contact Information

Primary practice address
6350 Glenway Ave Suite 415 Cincinnati OH 45211-6378
Phone: (513) 347-9999
Fax: (513) 347-3999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 010701 Ohio
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 010701 Ohio

Profile Details

NPI number 1194797506
LBN Legal business name Kautzmann, Derek Karl
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jan 2nd, 2014 - about 10 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 1194797506 NPPES
Ohio Other 010701 OH PT LICENSE

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