Kautzman, Jessie Lyn
Kautzman, Jessie Lyn is an individual health care provider with primary practice located at 401 S Alabama St Ste 6A , Butte MT 59701-2358. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Kautzman, Jessie Lyn can be contacted via phone (406) 563-7239.Contact Information
Primary practice address
401 S Alabama St Ste 6A
Butte MT 59701-2358
Phone: (406) 563-7239
Fax: (406) 782-2890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 10036 | Montana |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 10036 | Montana |
Profile Details
| NPI number | 1366424558 |
|---|---|
| LBN Legal business name | Kautzman, Jessie Lyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Apr 1st, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366424558 | NPPES |
| Montana | Other | 1366424558 | NPI |
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