KENNETH P. MAUTERER MD A MEDICAL CORP
NPI 1205018017
General Practice in Olla, LA

Q: What is Kenneth P. Mauterer MD A Medical Corp's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since December 04, 2007

1148 N PINE ROAD, OLLA, LA 71465(318) 495-3131(318) 495-3677 Get Directions Write a Review

NPPES record last updated: December 4, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenneth P. Mauterer Md A Medical Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH P. MAUTERER MD A MEDICAL CORP (NPI 1205018017) is a healthcare organization registered as a general practice in Olla, Louisiana and active in the NPI registry since December 2007. The organization lists Kenneth P Mauterer, President, as its authorized official.

NPPES Registry Identity

NPI1205018017

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameKENNETH P. MAUTERER MD A MEDICAL CORP

Location Address1148 N PINE ROADOlla, LA 71465

Mailing AddressPo Box 668Olla, LA 71465-0668 · (318) 495-3131 · Fax (318) 495-3677

Phone(318) 495-3131

Fax(318) 495-3677

Organization SubpartNo

Authorized OfficialKenneth P MautererPresident · (318) 495-3131

Enumeration DateDecember 4, 2007

✔ NPI 1205018017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in LA · 012667

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1148 N PINE ROAD, Olla, LA 71465

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Other Identifiers 1

Medicare PIN5F838LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth P. Mauterer MD A Medical Corp's NPI number?

The NPI number for Kenneth P. Mauterer MD A Medical Corp is 1205018017. It was assigned to this organization in the NPPES registry on December 4, 2007.

Where is Kenneth P. Mauterer MD A Medical Corp located?

Kenneth P. Mauterer MD A Medical Corp is located at 1148 N Pine Road, Olla, LA 71465. The listed phone number is (318) 495-3131.

What is Kenneth P. Mauterer MD A Medical Corp's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Kenneth P. Mauterer MD A Medical Corp was last updated on December 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.