Kenneth Gautier, M.D.

Individual Active
NPI 1467551465
Pediatric Sports Medicine Physician Senatobia, MS

Kenneth Gautier, M.D. is a pediatric sports medicine physician practicing in Senatobia, MS. The NPI was issued on September 22, 2006, and the record was last updated in NPPES on February 29, 2012.

This record hasn't been updated in NPPES since 2012. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Sports Medicine Physician Primary 2080S0010X 18615 (MS)

Practice location

103 Halls Cv
Senatobia, MS 38668-6620
Phone: (662) 562-9003

Local context

Active NPPES records list 1 provider with pediatric sports medicine physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 2 in Mississippi and 283 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Kenneth Bryan Gautier
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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