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Mr. Kim Gary Gauntt, DPM
Podiatrist in Newberg, Oregon
NPI 1902908171

Kim Gary Gauntt is a Podiatrist based in Newberg, OR. Kim Gary Gauntt practices in Newberg, OR and has the professional credentials of DPM. The NPI Number for Kim Gary Gauntt is 1902908171 and holds a License No. DP00197 (Oregon).

The current practice location address for Kim Gary Gauntt is 410 Villa Road, Newberg, OR and can be reached out via phone at 503-538-0466 and via fax at 503-538-0913. You can also correspond with Kim Gary Gauntt through the mailing address at 410 VILLA ROAD, NEWBERG, OR - 97132-1904 (mailing address contact number: 503-538-0466).

Location: 410 Villa Road, Newberg, OR, 97132-1904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902908171
Provider Name
Kim Gary Gauntt
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
410 Villa Road, Newberg, OR, 97132-1904
Phone Number
503-538-0466
Fax Number
503-538-0913
Provider Enumeration Date
09/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001656 05 OR
institution
Provider Business Practice Location Address Details
Address
410 Villa Road
City
Newberg
State
Oregon
Zip
97132-1904
Phone Number
503-538-0466
Fax Number
503-538-0913
person
Provider Business Mailing Address Details
Address
410 Villa Road
City
Newberg
State
Oregon
Zip
97132-1904
Phone Number
503-538-0466
Fax Number
503-538-0913
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
DP00197 (Oregon)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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