Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KIM GARY GAUNTT, D.P.M.
Active Sole ProprietorMR. KIM GARY GAUNTT, D.P.M. is a Podiatrist healthcare provider located in NEWBERG, Oregon. NPI 1902908171 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · NEWBERG, OR
Registration Details
- NPI Number
- 1902908171
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2006 (19.921724350879 yrs)
- Last Updated
- Jan 16, 2014
- License
-
DP00197 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
410 VILLA ROADNEWBERG, OR, 971321904Browse OR providers · Browse ZIP 97132
- Phone
- 5035380466
- Fax
- 5035380913
- Primary Specialty
-
Podiatrist
213E00000X
Other Podiatrist Providers in NEWBERG, OR
| Name | Credential | NPI |
|---|---|---|
| LISA MARIE LIPE | D.P.M. | 1124003595 |
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.