KENNETH P. MAUTERER MD A MEDICAL CORP – NPI #1205018017
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

KENNETH P. MAUTERER MD A MEDICAL CORP is a provider located in OLLA, LA. NPPES has assigned the NPI number 1205018017 to KENNETH P. MAUTERER MD A MEDICAL CORP on December 04, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNETH P. MAUTERER MD A MEDICAL CORP below.

NPI Profile for
KENNETH P. MAUTERER MD A MEDICAL CORP

NPI Number
1205018017
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KENNETH P. MAUTERER MD A MEDICAL CORP
Primary location
1148 N PINE ROAD
OLLA, LA 71465
Phone: (318) 495-3131 Fax: (318) 495-3677
Mailing address
PO BOX 668
OLLA, LA 71465-0668
Phone: (318) 495-3131 Fax: (318) 495-3677
Organization Subpart
No
Authorized Official
KENNETH MAUTERER
PRESIDENT
Phone: (318) 495-3131
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 LA 012667

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.