Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Constancio M Bautista, MD

Individual provider Specialist · NPI 1417937962

Dr. Constancio M Bautista, MD is a Specialist in Mt Washington, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

161 W St
Mt Washington, KY 40047-7184
Phone: (502) 538-7425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 16733 (KY)

Record details

NPI number1417937962
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 20, 2006
Last updated in NPPESJuly 8, 2007