K G Gauntt Dpm Pc

LBN: K G Gauntt Dpm Pc
K G Gauntt Dpm Pc is an health care organization with primary practice located at 410 Villa Road , Newberg OR 97132. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. K G Gauntt Dpm Pc can be contacted via phone (503) 538-0466, or through Gauntt, Kim Gary via phone (503) 538-0466.

Contact Information

Primary practice address
410 Villa Road Newberg OR 97132
Phone: (503) 538-0466
Fax: (503) 538-0913
Website:
Map and Directions
Authorized official contact:
Name: Gauntt, Kim Gary Doctor of Podiatric Medicine (DPM)
Phone: (503) 538-0466

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DP00197 Oregon

Profile Details

NPI number 1275770349
LBN Legal business name K G Gauntt Dpm Pc
DBA Doing business as
Authorized official Gauntt, Kim Gary Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2009
Last updated Jan 12th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275770349 NPPES
Oregon MEDICAID 001656

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