Chiaki Gauntt MD Pllc

NPI #1285813469 in La Grange, Kentucky

Provider Information

NPI Number
1285813469
Entity Type
Organization
Organization Name
Chiaki Gauntt MD Pllc
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Oct 24, 2007
Last Updated
Apr 30, 2008

Practice Location

Address
1917 S HIGHWAY 53
ZIP Code
40031-8574
Phone
(502) 645-8539

Authorized Official

Name
MS. DONNA M APPLEGATE, COT
Title
PRACTICE ADMINISTRATOR
Phone
(502) 645-8539

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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