Kim Gary Gauntt is a Podiatrist in Newberg, Oregon. Kim Gary Gauntt practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Kim Gary Gauntt is 1902908171. The last update date is 2014-01-16.
Kim Gary Gauntt's current location address is 410 Villa Road, Newberg, Oregon. You can contact this provider via phone number 5035380466 and fax number 5035380913. The mailing address for Kim Gary Gauntt is 410 Villa Road, Newberg, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim Gary Gauntt |
|---|---|
| Address | 410 Villa Road, Newberg, Oregon |
| Phone Number | 5035380466 |
| Fax Number | 5035380913 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1902908171 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2014-01-16 |
Provider Mailing Address Detail
| Address | 410 Villa Road |
|---|---|
| City | Newberg |
| State | Oregon (OR) |
| Post Code | 971321904 |
| Phone Number | 5035380466 |
| Fax Number | 5035380913 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | DP00197 |
|
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1656 | OR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kim Gary Gauntt by the Centers for Medicare & Medicaid Services?
The Kim Gary Gauntt has been issued the NPI (National Provider Identifier) 1902908171. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kim Gary Gauntt is physically located?
The Kim Gary Gauntt is situated at the following address: 410 Villa Road, Newberg, OR 971321904.
What is the Kim Gary Gauntt's area of specialization and corresponding taxonomy classification?
The Kim Gary Gauntt's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.
On what date did the Kim Gary Gauntt receive its 1902908171 assignment from the Centers for Medicare & Medicaid Services?
The Kim Gary Gauntt was assigned its 1902908171 by the Centers for Medicare & Medicaid Services on 2006-09-01.
As of what date was the information regarding Kim Gary Gauntt, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kim Gary Gauntt, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-01-16.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA