Kenneth Bryan Gautier
M.D. | Pediatric Sports Medicine | Male
Kenneth Bryan Gautier, M.D. is a Senatobia, Mississippi based Pediatric doctor with medical specialization in
Pediatric Sports Medicine.
Current practice location of Kenneth Bryan Gautier is
103 Halls Cv, Senatobia, Mississippi - 38668-6620. He can be contacted on phone at
662-562-9003.
Kenneth Bryan Gautier is a sole proprietor of his business.
NPI number (Unique professional ID) for Kenneth Bryan Gautier is
1467551465 which was assigned by NPPES on 22 Sep, 2006 and it was last updated on 29 Feb, 2012.
Kenneth Bryan Gautier license number is
18615 for Pediatrics Sports Medicine (2080S0010X) in Mississippi.
Kenneth Bryan Gautier is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Complete Profile:
Kenneth Bryan Gautier basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Sports Medicine |
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| Provider Name : | Kenneth Bryan Gautier |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Kenneth Bryan Gautier address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 103 Halls Cv
Senatobia, MS, 38668-6620
United States |
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| Phone Number : | 662-562-9003 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1467551465 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Sep, 2006 |
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| Last Updated On : | 29 Feb, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth Bryan Gautier are as mentioned. Primary taxonomy code for Kenneth Bryan Gautier, M.D. is
2080S0010X (Pediatrics Sports Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080S0010X | Pediatrics Sports Medicine | Yes | 18615 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Kenneth Bryan Gautier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 06727534 | MEDICAID | MS | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 103 Halls Cv
Senatobia, MS, 38668-6620
United States |
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| Phone Number : | 662-562-9003 |
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Business Location:
Patients can refer following map for directions to
Kenneth Bryan Gautier practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.