KENNETH BRYAN GAUTIER M.D. - NPI 1467551465 - Pediatrics in Senatobia, MS

Q: What is Kenneth Gautier's NPI number?

The NPI number for Kenneth Gautier is 1467551465. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Q: What is Kenneth Gautier's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Gautier was last updated on February 29, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kenneth Bryan Gautier M.d. NPPES

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

KENNETH BRYAN GAUTIER M.D. (NPI 1467551465) is an individual sports medicine provider in Senatobia, Mississippi, licensed in Mississippi (18615) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1467551465

Entity TypeIndividualMale

Primary Taxonomy2080S0010X

Provider Legal NameKENNETH BRYAN GAUTIERCredential: M.D.

Location Address103 HALLS CVSenatobia, MS 38668-6620

Mailing Address103 Halls CvSenatobia, MS 38668-6620 · (662) 562-9003

Phone(662) 562-9003

Sole ProprietorNo

Enumeration DateSeptember 22, 2006

Last NPPES UpdateFebruary 29, 2012

✔ NPI 1467551465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080S0010X

License✔ Licensed in MS · 18615

Definition

A pediatrician who 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.

103 HALLS CV, Senatobia, MS 38668

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Other Identifiers 3

Medicare ID-Type Unspecified370000427MS

Medicare UPINF84888MS

Medicaid06727534MS

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JARROD MICHAEL HIX PA-C

Physician Assistant