Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH BRYAN GAUTIER, M.D.
ActiveKENNETH BRYAN GAUTIER, M.D. is a Sports Medicine (Pediatrics) healthcare provider located in SENATOBIA, Mississippi. NPI 1467551465 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Pediatrics) · SENATOBIA, MS
Registration Details
- NPI Number
- 1467551465
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2006 (19.931438378402 yrs)
- Last Updated
- Feb 29, 2012
- License
-
18615 (MS)
Practice Information
- Address
-
103 HALLS CVSENATOBIA, MS, 386686620Browse MS providers · Browse ZIP 38668
- Phone
- 6625629003
- Primary Specialty
-
Sports Medicine (Pediatrics)
2080S0010X
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.