Kenneth Bryan Gautier, M.D.

NPI #1467551465 in Senatobia, Mississippi

Provider Information

NPI Number
1467551465
Entity Type
Individual
Name
Kenneth Bryan Gautier, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pediatrics - Sports Medicine
Credential
M.D.
Enumeration Date
Sep 22, 2006
Last Updated
Feb 29, 2012

Practice Location

Address
103 HALLS CV
ZIP Code
38668-6620
Phone
(662) 562-9003

Specialties & Taxonomy Codes

Specialty
Pediatrics - Sports MedicineSports Medicine

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