Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CONSTANCIO M BAUTISTA, M.D.
ActiveSpecialist · MT WASHINGTON, KY
Registration Details
- NPI Number
- 1417937962
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2006 (20.270765807797 yrs)
- Last Updated
- Jul 8, 2007
- License
-
16733 (KY)
Practice Information
- Address
-
161 WEST STMT WASHINGTON, KY, 400477184Browse KY providers · Browse ZIP 40047
- Phone
- 5025387425
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.