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
Fax: (406) 782-2890
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366424558 NPPES
Montana Other 1366424558 NPI

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