Kenneth Bryan Gautier, MD
Kenneth Bryan Gautier, MD is a Pediatric Sports Medicine Physician in Senatobia, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.
- Licensed in
- MS
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
103 Halls CvSenatobia, MS 38668-6620
Phone: (662) 562-9003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Sports Medicine Physician (primary) | Taxonomy 2080S0010X · Licence 18615 (MS) |
|---|
Record details
| NPI number | 1467551465 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | September 22, 2006 |
| Last updated in NPPES | February 29, 2012 |
| Mailing address | 103 Halls Cv, Senatobia, MS 38668-6620 |