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Michelle Kautz, DO
Military Health Care Provider in San Diego, California
NPI 1578183778

Michelle Kautz is a Military Health Care Provider based in San Diego, CA. Michelle Kautz practices in San Diego, CA and has the professional credentials of DO. The NPI Number for Michelle Kautz is 1578183778 and holds a License No. (California).

The current practice location address for Michelle Kautz is 34800 Bob Wilson Dr Infectious Disease Clinic, San Diego, CA and can be reached out via phone at 619-532-7475.

Location: 34800 Bob Wilson Dr Infectious Disease Clinic, San Diego, CA, 92139-1137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578183778
Provider Name
Michelle Kautz
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
34800 Bob Wilson Dr Infectious Disease Clinic, San Diego, CA, 92139-1137
Phone Number
619-532-7475
Fax Number
Provider Enumeration Date
04/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34800 Bob Wilson Dr Infectious Disease Clinic
City
San Diego
State
California
Zip
92134-2111
Phone Number
619-532-7475
Fax Number
person
Provider Business Mailing Address Details
Address
34800 Bob Wilson Dr Infectious Disease Clinic
City
San Diego
State
California
Zip
92134-2111
Phone Number
619-532-7475
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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