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Chiaki Gauntt Md Pllc
Medical Specialty Clinic/Center in La Grange, Kentucky
NPI 1285813469

Chiaki Gauntt Md Pllc is a Medical Specialty Clinic/Center based in Prospect, KY and is specialized in Medical Specialty. Chiaki Gauntt Md Pllc practices in La Grange, KY. The NPI Number for Chiaki Gauntt Md Pllc is 1285813469 and holds a License No. 39795 (Kentucky).

The current practice location address for Chiaki Gauntt Md Pllc is 1917 S Highway 53, La Grange, KY and can be reached out via phone at 502-645-8539 and via fax at 812-944-5496.

Location: 1917 S Highway 53, La Grange, KY, 40059-8614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285813469
Provider Name
Chiaki Gauntt Md Pllc
Credential
Provider Entity Type
Organization
Address
1917 S Highway 53, La Grange, KY, 40059-8614
Phone Number
502-645-8539
Fax Number
812-944-5496
Provider Enumeration Date
10/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1917 S Highway 53
City
La Grange
State
Kentucky
Zip
40031-8574
Phone Number
502-645-8539
Fax Number
812-944-5496
person
Provider Business Mailing Address Details
Address
1917 S Highway 53
City
La Grange
State
Kentucky
Zip
40031-8574
Phone Number
502-645-8539
Fax Number
812-944-5496
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
39795 (Kentucky)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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